SUITE LIVING SENIOR CARE OF LAKEVILLE
NPI 1629708524
Assisted Living Facility in Lakeville, MN

Active since June 14, 2022CLIA 24D2282504 · Waiver
20949 KEOKUK AVE, LAKEVILLE, MN 55044(651) 770-2273 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suite Living Senior Care Of Lakeville NPPES

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

SUITE LIVING SENIOR CARE OF LAKEVILLE (NPI 1629708524) is a healthcare organization registered as an assisted living facility in Lakeville, Minnesota and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Audrey Mcelwain, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629708524
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUITE LIVING SENIOR CARE OF LAKEVILLE
Location Address20949 KEOKUK AVELakeville, MN 55044
Mailing Address1824 Buerkle RdWhite Bear Lake, MN 55110-5245 · (651) 964-1092
Organization SubpartNo
Authorized OfficialAudrey McelwainDirector Of Operations · (651) 770-2273
Enumeration DateJune 14, 2022
NPPES CertifiedJune 8, 2022
NPI 1629708524 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.
20949 KEOKUK AVE, Lakeville, MN 55044

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 24D2282504

Suite Living Senior Care Of Lakeville · Lakeville, MN
Active · expires May 22, 2027
CLIA Number24D2282504
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorMichele Nyarecha
Laboratory Phone(952) 693-0095
Laboratory LocationSuite Living Senior Care Of Lakeville20949 Keokuk Ave, Lakeville, MN 55044
CLIA data matches this NPI record on: Address Name
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 Suite Living Senior Care Of Lakeville's NPI number?

The NPI number for Suite Living Senior Care Of Lakeville is 1629708524. It was assigned to this organization in the NPPES registry on June 14, 2022.

Where is Suite Living Senior Care Of Lakeville located?

Suite Living Senior Care Of Lakeville is located at 20949 Keokuk Ave, Lakeville, MN 55044. The listed phone number is (651) 770-2273.

What is Suite Living Senior Care Of Lakeville's specialty?

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

Does Suite Living Senior Care Of Lakeville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2282504) is associated with this NPI, valid through May 22, 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 Suite Living Senior Care Of Lakeville was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.