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LAURELS EDGE ASSISTED LIVING
NPI 1649658469
Assisted Living Facility in Mankato, MN

Active since May 13, 2015CLIA 24D1038678 · Waiver
77 STADIUM RD, MANKATO, MN 56001(507) 387-2133 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurels Edge Assisted Living NPPES

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

LAURELS EDGE ASSISTED LIVING (NPI 1649658469) is a healthcare organization registered as an assisted living facility in Mankato, Minnesota and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Joshua Legum, Manager, as its authorized official.

NPPES Registry Identity

NPI1649658469
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAURELS EDGE ALF LLC
Location Address77 STADIUM RDMankato, MN 56001-6099
Mailing Address77 Stadium RdMankato, MN 56001-6099
Phone(507) 387-2133
Organization SubpartNo
Authorized OfficialJoshua LegumManager · (516) 410-5209
Enumeration DateMay 13, 2015
✔ NPI 1649658469 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.
77 STADIUM RD, Mankato, MN 56001
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Other Names 1

Doing Business AsLaurels Edge Assisted Living

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 24D1038678

Laurel's Edge Assisted Living · Mankato, MN
Active · expires Mar 23, 2027
CLIA Number24D1038678
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorKris Doering
Laboratory Phone(507) 387-2133
Laboratory LocationLaurel's Edge Assisted Living77 Stadium Road, Mankato, MN 56001
CLIA data matches this NPI record on: Address 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 Laurels Edge Alf LLC's NPI number?

The NPI number for Laurels Edge Alf LLC is 1649658469. It was assigned to this organization in the NPPES registry on May 13, 2015. The provider is doing business as Laurels Edge Assisted Living.

Where is Laurels Edge Alf LLC located?

Laurels Edge Alf LLC is located at 77 Stadium Rd, Mankato, MN 56001. The listed phone number is (507) 387-2133.

What is Laurels Edge Alf LLC's specialty?

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

Does Laurels Edge Alf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1038678) is associated with this NPI, valid through March 23, 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 Laurels Edge Alf LLC was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.