BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC
NPI 1639734635
Assisted Living Facility in Northfield, MN

Q: What is Benedictine Living Community Of Northfield, LLC's specialty?

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

Active since May 06, 2019CLIA 24D2169050 · Waiver

2030 NORTH AVENUE, NORTHFIELD, MN 55057(612) 991-6519 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, May 6, 2019 (2 updates tracked since 2019).

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About Benedictine Living Community Of Northfield, Llc NPPES

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

BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC (NPI 1639734635) is a healthcare organization registered as an assisted living facility in Northfield, Minnesota and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Pennie Viggiano, Vp Of Hcbs, as its authorized official.

NPPES Registry Identity

NPI1639734635

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC

Location Address2030 NORTH AVENUENorthfield, MN 55057

Mailing Address2030 North AveNorthfield, MN 55057-1587 · (507) 512-5720

Phone(612) 991-6519

Organization SubpartYesParent: Benedictine Health System

Authorized OfficialPennie ViggianoVp Of Hcbs · (651) 529-8788

Enumeration DateMay 6, 2019

Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1639734635 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.

2030 NORTH AVENUE, Northfield, MN 55057

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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 24D2169050

Benedictine Living Community Of Northfield, LLC · Northfield, MN

Active · expires Jul 14, 2027

CLIA Number24D2169050

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorHodan Abdi-Isachsen

Laboratory Phone(507) 650-5022

Laboratory LocationBenedictine Living Community Of Northfield, LLC2030 North Avenue, Northfield, MN 55057

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 Benedictine Living Community Of Northfield, LLC's NPI number?

The NPI number for Benedictine Living Community Of Northfield, LLC is 1639734635. It was assigned to this organization in the NPPES registry on May 6, 2019.

Where is Benedictine Living Community Of Northfield, LLC located?

Benedictine Living Community Of Northfield, LLC is located at 2030 North Avenue, Northfield, MN 55057. The listed phone number is (612) 991-6519.

What is Benedictine Living Community Of Northfield, LLC's specialty?

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

Does Benedictine Living Community Of Northfield, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2169050) is associated with this NPI, valid through July 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 Benedictine Living Community Of Northfield, LLC was last updated on January 22, 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.