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PRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC
NPI 1740887090
Assisted Living Facility in Eden Prairie, MN

Active since October 08, 2020CLIA 24D2179421 · Waiver
10300 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347(952) 444-5000 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Bluffs Senior Living Operations Llc NPPES

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

PRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC (NPI 1740887090), doing business as Prairie Bluffs Senior Living, is a healthcare organization registered as an assisted living facility in Eden Prairie, Minnesota and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Caryl Nordland, Controller, as its authorized official.

NPPES Registry Identity

NPI1740887090
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC
Location Address10300 HENNEPIN TOWN RDEden Prairie, MN 55347-5100
Mailing Address820 Lilac Dr N Ste 170Golden Valley, MN 55422-0700 · (651) 706-2715
Phone(952) 444-5000
Organization SubpartNo
Authorized OfficialCaryl NordlandController · (651) 706-2715
Enumeration DateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
✔ NPI 1740887090 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.
10300 HENNEPIN TOWN RD, Eden Prairie, MN 55347
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Other Names 1

Doing Business AsPrairie Bluffs 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 24D2179421

Prairie Bluffs Senior Living · Eden Prairie, MN
Active · expires Feb 23, 2028
CLIA Number24D2179421
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorStephanie Frederick
Laboratory Phone(952) 444-5000
Laboratory LocationPrairie Bluffs Senior Living10300 Hennepin Town Rd, Eden Prairie, MN 55347
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 11

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

LAUREN BERTRAND OTD
Occupational Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (612) 562-8204
RENEWAL MN LLC
Physical Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (952) 444-5000
JESSICA HORMANN MA OTR/L
Occupational Therapist (Physical Rehabilitation)
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (651) 270-3920
TAMARA MAE RUEDEBUSCH OTR/L
Occupational Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (612) 562-8204
JESSICA ANNE WILLIAMS
Speech-Language Pathologist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (952) 444-5000
PRAIRIE BLUFFS REHABILITATION CENTER LLC
Skilled Nursing Facility
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (507) 203-1001
ACTIVE THERAPY MN
Physical Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (612) 562-8204
PRAIRIE BLUFFS TCU, LLC
Skilled Nursing Facility
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (952) 444-5000

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 Prairie Bluffs Senior Living Operations LLC's NPI number?

The NPI number for Prairie Bluffs Senior Living Operations LLC is 1740887090. It was assigned to this organization in the NPPES registry on October 8, 2020. The provider is doing business as Prairie Bluffs Senior Living.

Where is Prairie Bluffs Senior Living Operations LLC located?

Prairie Bluffs Senior Living Operations LLC is located at 10300 Hennepin Town Rd, Eden Prairie, MN 55347. The listed phone number is (952) 444-5000.

What is Prairie Bluffs Senior Living Operations LLC's specialty?

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

Does Prairie Bluffs Senior Living Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2179421) is associated with this NPI, valid through February 23, 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 Prairie Bluffs Senior Living Operations LLC was last updated on October 8, 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.