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MILL STREET RESIDENCE
NPI 1679783997
Assisted Living Facility in Fergus Falls, MN

Active since May 23, 2007CLIA 24D1053625 · Waiver
802 S MILL ST, FERGUS FALLS, MN 56537(218) 739-2900(218) 739-2192 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mill Street Residence NPPES

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

MILL STREET RESIDENCE (NPI 1679783997) is a healthcare organization registered as an assisted living facility in Fergus Falls, Minnesota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Michael David Siems, Director, as its authorized official.

NPPES Registry Identity

NPI1679783997
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLRHC LONG TERM CARE FACILITIES, INC.
Location Address802 S MILL STFergus Falls, MN 56537-2750
Mailing Address802 S Mill StFergus Falls, MN 56537-2750 · (218) 739-2900 · Fax (218) 739-2192
Phone(218) 739-2900
Fax(218) 739-2192
Organization SubpartNo
Authorized OfficialMichael David SiemsDirector · (218) 736-8590
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 14, 2008
✔ NPI 1679783997 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 · 335628
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.
802 S MILL ST, Fergus Falls, MN 56537
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Other Names 1

Doing Business AsMill Street Residence

Other Identifiers 1

Medicaid825640300MN

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 24D1053625

Mill Street Residence · Fergus Falls, MN
Active · expires Apr 29, 2028
CLIA Number24D1053625
Laboratory TypeHome Health Agency
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorMichael D. Siems
Laboratory Phone(218) 739-2900
Laboratory LocationMill Street Residence802 So Mill Street, Fergus Falls, MN 56537
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 Lrhc Long Term Care Facilities, Inc.'s NPI number?

The NPI number for Lrhc Long Term Care Facilities, Inc. is 1679783997. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is doing business as Mill Street Residence.

Where is Lrhc Long Term Care Facilities, Inc. located?

Lrhc Long Term Care Facilities, Inc. is located at 802 S Mill St, Fergus Falls, MN 56537. The listed phone number is (218) 739-2900.

What is Lrhc Long Term Care Facilities, Inc.'s specialty?

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

Does Lrhc Long Term Care Facilities, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1053625) is associated with this NPI, valid through April 29, 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 Lrhc Long Term Care Facilities, Inc. was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.