DELLWOOD GARDENS
NPI 1619399136
Assisted Living Facility in Saint Paul, MN
About Dellwood Gardens NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELLWOOD GARDENS (NPI 1619399136) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Sia Lo, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2074149
Dellwood Gardens Assisted Living · Saint Paul, 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 Kmjc, LLC's NPI number?
The NPI number for Kmjc, LLC is 1619399136. It was assigned to this organization in the NPPES registry on January 17, 2014. The provider is doing business as Dellwood Gardens.
Where is Kmjc, LLC located?
Kmjc, LLC is located at 753 7th St E, Saint Paul, MN 55106. The listed phone number is (651) 776-9511.
What is Kmjc, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Kmjc, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2074149) is associated with this NPI, valid through March 2, 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 Kmjc, LLC was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Dellwood Gardens · NPI 1619399136
Assisted Living Facility organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since January 17, 2014.
## Identity
- **NPI:** 1619399136 (Entity type: Organization)
- **Enumerated:** January 17, 2014
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Kmjc, Llc
- **Organization subpart:** No
- **Authorized official:** Sia Lo, ADMINISTRATOR
## Practice location
- **Address:** 753 7TH ST E, Saint Paul, MN 55106-5025
- **Phone:** (651) 776-9511
## Record status
- **NPPES last updated:** January 17, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619399136) · Data from the CMS NPPES public registry.