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MUSA MIRACLE LIVING INC
NPI 1679383939
Assisted Living Facility in Rochester, MN

Active since January 09, 2025CLIA 24D2314042 · Waiver
3239 LAKERIDGE DR NW, ROCHESTER, MN 55901(507) 288-1251 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Musa Miracle Living Inc NPPES

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

MUSA MIRACLE LIVING INC (NPI 1679383939) is a healthcare organization registered as an assisted living facility in Rochester, Minnesota and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Warda Mohamed Salah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679383939
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMUSA MIRACLE LIVING INC
Location Address3239 LAKERIDGE DR NWRochester, MN 55901-6566
Mailing Address3239 Lakeridge Dr NwRochester, MN 55901-6566 · (507) 288-1251
Phone(507) 288-1251
Organization SubpartNo
Authorized OfficialWarda Mohamed SalahCeo · (507) 990-3255
Enumeration DateJanuary 9, 2025
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1679383939 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.
3239 LAKERIDGE DR NW, Rochester, MN 55901
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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 24D2314042

Musa Miracle Living Inc · Rochester, MN
Active · expires Nov 11, 2026
CLIA Number24D2314042
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorJocelyn B. Mangunay
Laboratory Phone(507) 288-1251
Laboratory LocationMusa Miracle Living Inc3239 Lakeridge Dr NW, Rochester, MN 55901
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 Musa Miracle Living Inc's NPI number?

The NPI number for Musa Miracle Living Inc is 1679383939. It was assigned to this organization in the NPPES registry on January 9, 2025.

Where is Musa Miracle Living Inc located?

Musa Miracle Living Inc is located at 3239 Lakeridge Dr NW, Rochester, MN 55901. The listed phone number is (507) 288-1251.

What is Musa Miracle Living Inc's specialty?

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

Does Musa Miracle Living Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2314042) is associated with this NPI, valid through November 11, 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 Musa Miracle Living Inc was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.