Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFEWAY HEALTH & WELLNESS LLC
NPI 1598443723
Clinic/Center - Primary Care in Maple Grove, MN

Active since July 07, 2023CLIA 24D2288544 · Waiver
6469 SYCAMORE CT N, MAPLE GROVE, MN 55369(763) 276-9443(888) 440-6946 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2023, Jul 7, 2023 (2 updates tracked since 2023).

About Lifeway Health & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEWAY HEALTH & WELLNESS LLC (NPI 1598443723) is a healthcare organization registered as a primary care in Maple Grove, Minnesota and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Stacy Woodard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598443723
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFEWAY HEALTH & WELLNESS LLC
Location Address6469 SYCAMORE CT NMaple Grove, MN 55369-6028
Mailing Address6469 Sycamore Ct NMaple Grove, MN 55369-6028 · (763) 276-9443 · Fax (888) 440-6946
Fax(888) 440-6946
Organization SubpartNo
Authorized OfficialStacy WoodardCeo · (763) 438-3814
Enumeration DateJuly 7, 2023
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1598443723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6469 SYCAMORE CT N, Maple Grove, MN 55369

Accepted Insurance

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 24D2288544

Lifeway Health & Wellness · Maple Grove, MN
Active · expires Aug 27, 2027
CLIA Number24D2288544
Laboratory TypePractitioner Other
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorStacy A. Woodard
Laboratory Phone(763) 276-9443
Laboratory LocationLifeway Health & Wellness6469 Sycamore Ct N, Maple Grove, MN 55369
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6469 SYCAMORE CT N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
6469 SYCAMORE CT N
MAPLE GROVE, MN 55369

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 Lifeway Health & Wellness LLC's NPI number?

The NPI number for Lifeway Health & Wellness LLC is 1598443723. It was assigned to this organization in the NPPES registry on July 7, 2023.

Where is Lifeway Health & Wellness LLC located?

Lifeway Health & Wellness LLC is located at 6469 Sycamore Ct N, Maple Grove, MN 55369. The listed phone number is (763) 276-9443.

What is Lifeway Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lifeway Health & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2288544) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeway Health & Wellness LLC accept?

Health plans from Medica list Lifeway Health & Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeway Health & Wellness LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.