PHS WOODBURY, INC
NPI 1588088322
Assisted Living Facility in Woodbury, MN
About Phs Woodbury, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHS WOODBURY, INC (NPI 1588088322) is a healthcare organization registered as an assisted living facility in Woodbury, Minnesota and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Mark Meyer, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2032762
Phs Woodbury Inc Dba Stonecrest · Woodbury, MNOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phs Woodbury, Inc's NPI number?
The NPI number for Phs Woodbury, Inc is 1588088322. It was assigned to this organization in the NPPES registry on February 14, 2014. The provider is also known as Stonecrest.
Where is Phs Woodbury, Inc located?
Phs Woodbury, Inc is located at 8725 Promenade Ln, Woodbury, MN 55125. The listed phone number is (651) 264-3200.
What is Phs Woodbury, Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Phs Woodbury, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2032762) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Phs Woodbury, Inc was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
