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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELIM SHORES, INC.
NPI 1598882334
Assisted Living Facility in Eden Prairie, MN

Active since March 26, 2007CLIA 24D1068793 · Waiver
7900 TIMBER LAKE DR, EDEN PRAIRIE, MN 55347(952) 934-3005(952) 934-0730 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Nov 21, 2025, Aug 22, 2020 (3 updates tracked since 2020).

About Elim Shores, Inc. NPPES

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

ELIM SHORES, INC. (NPI 1598882334) is a healthcare organization registered as an assisted living facility in Eden Prairie, Minnesota and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Seelochani Stadtherr, Associate Vp Of Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1598882334
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELIM SHORES, INC.
Location Address7900 TIMBER LAKE DREden Prairie, MN 55347-1177
Mailing Address7171 Ohms LnEdina, MN 55439-2142 · (529) 855-5041 · Fax (952) 259-4498
Phone(952) 934-3005
Fax(952) 934-0730
Organization SubpartNo
Authorized OfficialSeelochani StadtherrAssociate Vp Of Revenue Cycle Mgmt · (952) 855-5041
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1598882334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 335373
Definition
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.
7900 TIMBER LAKE DR, Eden Prairie, MN 55347
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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 24D1068793

Elim Shores · Eden Prairie, MN
Active · expires May 20, 2027
CLIA Number24D1068793
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorJason Nelson
Laboratory Phone(952) 934-3005
Laboratory LocationElim Shores7900 Timber Lake Drive, Eden Prairie, MN 55347
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elim Shores, Inc.'s NPI number?

The NPI number for Elim Shores, Inc. is 1598882334. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Elim Shores, Inc. located?

Elim Shores, Inc. is located at 7900 Timber Lake Dr, Eden Prairie, MN 55347. The listed phone number is (952) 934-3005.

What is Elim Shores, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Elim Shores, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1068793) is associated with this NPI, valid through May 20, 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 Elim Shores, Inc. was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.