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SOUTHVIEW SENIOR LIVING
NPI 1710050836
Assisted Living Facility in Saint Paul, MN

Active since November 16, 2006CLIA 24D1057894 · Waiver
1984 OAKDALE AVE, SAINT PAUL, MN 55118(651) 554-4838(651) 455-0267 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southview Senior Living NPPES

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

SOUTHVIEW SENIOR LIVING (NPI 1710050836) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Kelly J Myers, Residence Director, as its authorized official.

NPPES Registry Identity

NPI1710050836
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHVIEW SENIOR LIVING
Location Address1984 OAKDALE AVESaint Paul, MN 55118-3553
Mailing Address1984 Oakdale AveSaint Paul, MN 55118-3553 · (651) 554-4838 · Fax (651) 455-0267
Phone(651) 554-4838
Fax(651) 455-0267
Organization SubpartNo
Authorized OfficialKelly J MyersResidence Director · (651) 554-4838
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710050836 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 · 333707
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.
1984 OAKDALE AVE, Saint Paul, MN 55118
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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 24D1057894

Southview Senior Living · West Saint Paul, MN
Active · expires Aug 23, 2026
CLIA Number24D1057894
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorLisa M. Cloud
Laboratory Phone(651) 554-4838
Laboratory LocationSouthview Senior Living1984 Oakdale Avenue, West Saint Paul, MN 55118
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 Southview Senior Living's NPI number?

The NPI number for Southview Senior Living is 1710050836. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Southview Senior Living located?

Southview Senior Living is located at 1984 Oakdale Ave, Saint Paul, MN 55118. The listed phone number is (651) 554-4838.

What is Southview Senior Living's specialty?

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

Does Southview Senior Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1057894) is associated with this NPI, valid through August 23, 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 Southview Senior Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.