NEW JOURNEY RESIDENCE, LTD
NPI 1730550047
Assisted Living Facility in Eveleth, MN

Active since October 13, 2015CLIA 24D2106258 · Waiver
303 HAT TRICK AVE, EVELETH, MN 55734(218) 744-5907(218) 744-2490 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Journey Residence, Ltd NPPES

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

NEW JOURNEY RESIDENCE, LTD (NPI 1730550047) is a healthcare organization registered as an assisted living facility in Eveleth, Minnesota and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Jessica Marie Raad, Secretary, as its authorized official.

NPPES Registry Identity

NPI1730550047
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNEW JOURNEY RESIDENCE, LTD
Location Address303 HAT TRICK AVEEveleth, MN 55734-8635
Mailing Address303 Hat Trick AveEveleth, MN 55734-8635 · (218) 744-5907 · Fax (218) 744-2490
Fax(218) 744-2490
Organization SubpartNo
Authorized OfficialJessica Marie RaadSecretary · (320) 360-5595
Enumeration DateOctober 13, 2015
NPI 1730550047 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.
303 HAT TRICK AVE, Eveleth, MN 55734

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 24D2106258

New Journey Residence · Eveleth, MN
Active · expires Dec 14, 2027
CLIA Number24D2106258
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorNatasha Bray
Laboratory Phone(218) 744-5907
Laboratory LocationNew Journey Residence303 Hat Trick Avenue, Eveleth, MN 55734
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
303 HAT TRICK AVE
EVELETH, MN 55734

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 New Journey Residence, Ltd's NPI number?

The NPI number for New Journey Residence, Ltd is 1730550047. It was assigned to this organization in the NPPES registry on October 13, 2015.

Where is New Journey Residence, Ltd located?

New Journey Residence, Ltd is located at 303 Hat Trick Ave, Eveleth, MN 55734. The listed phone number is (218) 744-5907.

What is New Journey Residence, Ltd's specialty?

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

Does New Journey Residence, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2106258) is associated with this NPI, valid through December 14, 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 New Journey Residence, Ltd was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.