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FAIRWAY PINES
NPI 1659507077
Assisted Living Facility in Sauk Centre, MN

Active since June 01, 2009CLIA 24D1090460 · Waiver
606 MAIN ST N, SAUK CENTRE, MN 56378(320) 351-4900 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairway Pines NPPES

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

FAIRWAY PINES (NPI 1659507077) is a healthcare organization registered as an assisted living facility in Sauk Centre, Minnesota and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Howie Groff, President, as its authorized official.

NPPES Registry Identity

NPI1659507077
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFAIRWAY PINES
Location Address606 MAIN ST NSauk Centre, MN 56378-4899
Mailing Address606 Main St NSauk Centre, MN 56378-4899
Phone(320) 351-4900
Organization SubpartNo
Authorized OfficialHowie GroffPresident · (952) 888-2923
Enumeration DateJune 1, 2009
✔ NPI 1659507077 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.
606 MAIN ST N, Sauk Centre, MN 56378
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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 24D1090460

Fairway Pines Senior Living Communities LLC · Sauk Centre, MN
Active · expires Oct 9, 2026
CLIA Number24D1090460
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorTrish Harlow
Laboratory Phone(320) 351-4900
Laboratory LocationFairway Pines Senior Living Communities LLC606 Main Street North, Sauk Centre, MN 56378
CLIA data matches this NPI record on: Address 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 Fairway Pines's NPI number?

The NPI number for Fairway Pines is 1659507077. It was assigned to this organization in the NPPES registry on June 1, 2009.

Where is Fairway Pines located?

Fairway Pines is located at 606 Main St N, Sauk Centre, MN 56378. The listed phone number is (320) 351-4900.

What is Fairway Pines's specialty?

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

Does Fairway Pines hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1090460) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairway Pines was last updated on June 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.