1. Home
  2. Directory
  3. Minnesota
  4. Maplewood
  5. Assisted Living Facility
  6. NPI Profile

LAKEVIEW COMMONS
NPI 1649484601
Assisted Living Facility in Maplewood, MN

Active since May 09, 2007CLIA 24D0996196 · Waiver
1200 LAKEWOOD DR N, MAPLEWOOD, MN 55119(651) 770-1111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeview Commons NPPES

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

LAKEVIEW COMMONS (NPI 1649484601) is a healthcare organization registered as an assisted living facility in Maplewood, Minnesota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Kathryn R Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649484601
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameECUMEN
Location Address1200 LAKEWOOD DR NMaplewood, MN 55119-7601
Mailing Address3530 Lexington Ave NShoreview, MN 55126-8164 · (651) 766-4300
Phone(651) 770-1111
Organization SubpartNo
Authorized OfficialKathryn R RobertsCeo · (651) 766-4300
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649484601 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 · 331964
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.
1200 LAKEWOOD DR N, Maplewood, MN 55119
Open in Google Maps ↗

Other Names 1

Other NameLakeview Commons

Other Identifiers 1

Medicaid504158900MN

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 24D0996196

Ecumen Lakeview Commons · Maplewood, MN
Active · expires Feb 11, 2028
CLIA Number24D0996196
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorTami Haley
Laboratory Phone(651) 770-1111
Laboratory LocationEcumen Lakeview Commons1200 North Lakewood Drive, Maplewood, MN 55119
CLIA data matches this NPI record on: Name Phone
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 Ecumen's NPI number?

The NPI number for Ecumen is 1649484601. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is also known as Lakeview Commons.

Where is Ecumen located?

Ecumen is located at 1200 Lakewood Dr N, Maplewood, MN 55119. The listed phone number is (651) 770-1111.

What is Ecumen's specialty?

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

Does Ecumen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0996196) is associated with this NPI, valid through February 11, 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 Ecumen was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.