THE HOMESTEAD AT ANOKA, INC.
NPI 1609447911
Assisted Living Facility in Anoka, MN

Q: What is The Homestead At Anoka, Inc.'s NPI number?

The NPI number for The Homestead At Anoka, Inc. is 1609447911. It was assigned to this organization in the NPPES registry on July 7, 2021. The provider is doing business as The Homestead at Anoka.

Q: What is The Homestead At Anoka, Inc.'s specialty?

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

Active since July 07, 2021CLIA 24D2299066 · Waiver

3002 4TH AVE, ANOKA, MN 55303(763) 528-6500 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 4, 2026, Jul 7, 2021 (2 updates tracked since 2021).

On this page

About The Homestead At Anoka, Inc. NPPES

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

THE HOMESTEAD AT ANOKA, INC. (NPI 1609447911), doing business as The Homestead At Anoka, is a healthcare organization registered as an assisted living facility in Anoka, Minnesota and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Nancy Gavin, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1609447911

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE HOMESTEAD AT ANOKA, INC.

Location Address3002 4TH AVEAnoka, MN 55303-1238

Mailing Address3002 4th AveAnoka, MN 55303-1238 · (763) 528-6500

Phone(763) 528-6500

Organization SubpartNo

Authorized OfficialNancy GavinAssistant Secretary · (612) 428-7840

Enumeration DateJuly 7, 2021

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1609447911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

3002 4TH AVE, Anoka, MN 55303

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Homestead At Anoka

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 24D2299066

The Homestead At Anoka · Anoka, MN

Active · expires Feb 12, 2028

CLIA Number24D2299066

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 13, 2026

Certificate Expiration DateFebruary 12, 2028

Laboratory DirectorCassandra Peterson

Laboratory Phone(763) 528-6500

Laboratory LocationThe Homestead At Anoka3002 4th Avenue, Anoka, MN 55303

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 The Homestead At Anoka, Inc.'s NPI number?

The NPI number for The Homestead At Anoka, Inc. is 1609447911. It was assigned to this organization in the NPPES registry on July 7, 2021. The provider is doing business as The Homestead at Anoka.

Where is The Homestead At Anoka, Inc. located?

The Homestead At Anoka, Inc. is located at 3002 4th Ave, Anoka, MN 55303. The listed phone number is (763) 528-6500.

What is The Homestead At Anoka, Inc.'s specialty?

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

Does The Homestead At Anoka, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2299066) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Homestead At Anoka, Inc. was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.