GRAND ARBOR
NPI 1679868947
Assisted Living Facility in Alexandria, MN

Q: What is Knute Nelson Senior Living Campus, LLC's specialty?

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

Active since June 15, 2011CLIA 24D2225795 · Waiver

4403 PIONEER ROAD, ALEXANDRIA, MN 56308(320) 763-1600(320) 763-7548 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grand Arbor NPPES

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

GRAND ARBOR (NPI 1679868947) is a healthcare organization registered as an assisted living facility in Alexandria, Minnesota and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Marnie Gugisberg, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679868947

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKNUTE NELSON SENIOR LIVING CAMPUS, LLC

Location Address4403 PIONEER ROADAlexandria, MN 56308

Mailing Address420 12th Ave EAlexandria, MN 56308-2612 · (320) 763-1164 · Fax (320) 763-7548

Phone(320) 763-1600

Fax(320) 763-7548

Organization SubpartNo

Authorized OfficialMarnie GugisbergCfo · (320) 763-1164

Enumeration DateJune 15, 2011

✔ NPI 1679868947 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.

4403 PIONEER ROAD, Alexandria, MN 56308

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Other Names 1

Doing Business AsGrand Arbor

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 24D2225795

Knute Nelson Senior Living Campus, LLC (dba Grand Arbor) · Alexandria, MN

Active · expires May 24, 2027

CLIA Number24D2225795

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 25, 2025

Certificate Expiration DateMay 24, 2027

Laboratory DirectorBrittany Jasken

Laboratory Phone(320) 763-1600

Laboratory LocationKnute Nelson Senior Living Campus, LLC (dba Grand Arbor)4403 Pioneer Road SE, Alexandria, MN 56308

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 Knute Nelson Senior Living Campus, LLC's NPI number?

The NPI number for Knute Nelson Senior Living Campus, LLC is 1679868947. It was assigned to this organization in the NPPES registry on June 15, 2011. The provider is doing business as Grand Arbor.

Where is Knute Nelson Senior Living Campus, LLC located?

Knute Nelson Senior Living Campus, LLC is located at 4403 Pioneer Road, Alexandria, MN 56308. The listed phone number is (320) 763-1600.

What is Knute Nelson Senior Living Campus, LLC's specialty?

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

Does Knute Nelson Senior Living Campus, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2225795) is associated with this NPI, valid through May 24, 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 Knute Nelson Senior Living Campus, LLC was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.