OAK TERRACE SENIOR HOUSING OF JORDAN
NPI 1811442965
Assisted Living Facility in Jordan, MN

Active since August 18, 2016CLIA 24D2037127 · Waiver
622 ABERDEEN AVE, JORDAN, MN 55352(952) 492-5559 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oak Terrace Senior Housing Of Jordan NPPES

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

OAK TERRACE SENIOR HOUSING OF JORDAN (NPI 1811442965) is a healthcare organization registered as an assisted living facility in Jordan, Minnesota and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Drew Michael Hood, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811442965
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOAK TERRACE SENIOR HOUSING OF JORDAN
Location Address622 ABERDEEN AVEJordan, MN 55352-9516
Mailing Address622 Aberdeen AveJordan, MN 55352-9516 · (952) 492-5559
Organization SubpartNo
Authorized OfficialDrew Michael HoodAdministrator · (507) 387-2037
Enumeration DateAugust 18, 2016
NPI 1811442965 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.
622 ABERDEEN AVE, Jordan, MN 55352

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 24D2037127

Oak Terrace Senior Housing Of Jordan · Jordan, MN
Active · expires Feb 20, 2028
CLIA Number24D2037127
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorDrew Hood
Laboratory Phone(952) 492-5559
Laboratory LocationOak Terrace Senior Housing Of Jordan622 Aberdeen Avenue, Jordan, MN 55352
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 8

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

Occupational Therapy Assistant
622 ABERDEEN AVE
JORDAN, MN 55352
Physical Therapist
622 ABERDEEN AVE
JORDAN, MN 55352
Occupational Therapist
622 ABERDEEN AVE
JORDAN, MN 55352
Physical Therapist
622 ABERDEEN AVE
JORDAN, MN 55352
Occupational Therapist
622 ABERDEEN AVE
JORDAN, MN 55352
Occupational Therapy Assistant
622 ABERDEEN AVE
JORDAN, MN 55352
Occupational Therapist
622 ABERDEEN AVE
JORDAN, MN 55352
Physical Therapist
622 ABERDEEN AVE
JORDAN, MN 55352

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 Oak Terrace Senior Housing Of Jordan's NPI number?

The NPI number for Oak Terrace Senior Housing Of Jordan is 1811442965. It was assigned to this organization in the NPPES registry on August 18, 2016.

Where is Oak Terrace Senior Housing Of Jordan located?

Oak Terrace Senior Housing Of Jordan is located at 622 Aberdeen Ave, Jordan, MN 55352. The listed phone number is (952) 492-5559.

What is Oak Terrace Senior Housing Of Jordan's specialty?

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

Does Oak Terrace Senior Housing Of Jordan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2037127) is associated with this NPI, valid through February 20, 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 Oak Terrace Senior Housing Of Jordan was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.