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

PRESBYTERIAN HOMES OF ANDOVER,INC.
NPI 1619393824
Assisted Living Facility in Andover, MN

Active since March 12, 2014CLIA 24D2032763 · Waiver
13733 QUAY ST NW, ANDOVER, MN 55304(763) 712-7000 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 18, 2026, Nov 12, 2025 (2 updates tracked since 2025).

About Presbyterian Homes Of Andover,inc. NPPES

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

PRESBYTERIAN HOMES OF ANDOVER,INC. (NPI 1619393824) is a healthcare organization registered as an assisted living facility in Andover, Minnesota and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Jon Tranby, Payer Relations Director, as its authorized official.

NPPES Registry Identity

NPI1619393824
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRESBYTERIAN HOMES OF ANDOVER,INC.
Location Address13733 QUAY ST NWAndover, MN 55304-3620
Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6432 · Fax (651) 631-6122
Phone(763) 712-7000
Organization SubpartNo
Authorized OfficialJon TranbyPayer Relations Director · (651) 631-6102
Enumeration DateMarch 12, 2014
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1619393824 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 · 357336
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.
13733 QUAY ST NW, Andover, MN 55304
Open in Google Maps ↗

Other Names 1

Other NameThe Farmstead

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 24D2032763

Presbyterian Homes Of Andover Inc Dba The Farmstead · Andover, MN
Active · expires Nov 14, 2027
CLIA Number24D2032763
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorStarlette Cummings
Laboratory Phone(763) 712-7004
Laboratory LocationPresbyterian Homes Of Andover Inc Dba The Farmstead13733 Quay Street, Andover, MN 55304
CLIA data matches this NPI record on: Address Name
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.

JOSHUA SMITH DPT
Physical Therapist
13733 QUAY ST NW
ANDOVER, MN 55304
Anoka County (736) 712-7045
OPTAGE INC
Clinic/Center (Rehabilitation)
13733 QUAY ST NW
ANDOVER, MN 55304
Anoka County (651) 631-6570

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 Presbyterian Homes Of Andover,inc.'s NPI number?

The NPI number for Presbyterian Homes Of Andover,inc. is 1619393824. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider is also known as The Farmstead.

Where is Presbyterian Homes Of Andover,inc. located?

Presbyterian Homes Of Andover,inc. is located at 13733 Quay St NW, Andover, MN 55304. The listed phone number is (763) 712-7000.

What is Presbyterian Homes Of Andover,inc.'s specialty?

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

Does Presbyterian Homes Of Andover,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2032763) 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 Presbyterian Homes Of Andover,inc. was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.