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KEELSON HARBOUR SENIOR LIVING
NPI 1740812072
Assisted Living Facility in Spirit Lake, IA

Active since February 05, 2020CLIA 16D1071425 · Waiver
2810 AURORA AVE, SPIRIT LAKE, IA 51360(712) 336-4501(712) 336-4509 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keelson Harbour Senior Living NPPES

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

KEELSON HARBOUR SENIOR LIVING (NPI 1740812072) is a healthcare organization registered as an assisted living facility in Spirit Lake, Iowa and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Melissa Sewell, Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1740812072
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPIRIT LAKE SENIOR OPERATOR, LLC
Location Address2810 AURORA AVESpirit Lake, IA 51360-7055
Mailing Address2810 Aurora AveSpirit Lake, IA 51360-7055 · (712) 336-4501 · Fax (712) 336-4509
Phone(712) 336-4501
Fax(712) 336-4509
Organization SubpartNo
Authorized OfficialMelissa SewellAssistant Manager · (712) 336-4501
Enumeration DateFebruary 5, 2020
✔ NPI 1740812072 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.
2810 AURORA AVE, Spirit Lake, IA 51360
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Other Names 1

Doing Business AsKeelson Harbour Senior Living

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 16D1071425

Keelson Harbour · Spirit Lake, IA
Active · expires Jul 30, 2027
CLIA Number16D1071425
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorMaxine Anderson
Laboratory Phone(712) 336-4501
Laboratory LocationKeelson Harbour2810 Aurora Avenue, Spirit Lake, IA 51360
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 Spirit Lake Senior Operator, LLC's NPI number?

The NPI number for Spirit Lake Senior Operator, LLC is 1740812072. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as Keelson Harbour Senior Living.

Where is Spirit Lake Senior Operator, LLC located?

Spirit Lake Senior Operator, LLC is located at 2810 Aurora Ave, Spirit Lake, IA 51360. The listed phone number is (712) 336-4501.

What is Spirit Lake Senior Operator, LLC's specialty?

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

Does Spirit Lake Senior Operator, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1071425) is associated with this NPI, valid through July 30, 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 Spirit Lake Senior Operator, LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.