FRIENDSHIP PLACE
NPI 1619441979
Assisted Living Facility in Saint Paul, MN
About Friendship Place NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRIENDSHIP PLACE (NPI 1619441979), doing business as The Friendship Place Llc, is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Koshin M. Hassan, Owner, 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 24D2167402
Friendship Place LLC, The · Saint Paul, MNFrequently 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 Friendship Place's NPI number?
The NPI number for Friendship Place is 1619441979. It was assigned to this organization in the NPPES registry on January 18, 2019. The provider is doing business as The Friendship Place LLC.
Where is Friendship Place located?
Friendship Place is located at 152 King St W, Saint Paul, MN 55107. The listed phone number is (612) 619-3848.
What is Friendship Place's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Friendship Place hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2167402) is associated with this NPI, valid through June 5, 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 Friendship Place was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Friendship Place · NPI 1619441979
Assisted Living Facility organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since January 18, 2019.
## Identity
- **NPI:** 1619441979 (Entity type: Organization)
- **Enumerated:** January 18, 2019
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** The Friendship Place LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Koshin Hassan, OWNER
## Practice location
- **Address:** 152 KING ST W, Saint Paul, MN 55107-2723
- **Phone:** (612) 619-3848
## Record status
- **NPPES last updated:** January 18, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619441979) · Data from the CMS NPPES public registry.