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ELK RIVER SENIOR LIVING
NPI 1811542160
Assisted Living Facility in Elk River, MN

Active since August 05, 2019CLIA 24D2169931 · Waiver
11124 183RD CIR NW, ELK RIVER, MN 55330(763) 276-7076 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2021, Aug 5, 2019 (2 updates tracked since 2019).

About Elk River Senior Living NPPES

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

ELK RIVER SENIOR LIVING (NPI 1811542160) is a healthcare organization registered as an assisted living facility in Elk River, Minnesota and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Shoshana Friedler, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1811542160
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELK RIVER OPERATIONS, LLC
Location Address11124 183RD CIR NWElk River, MN 55330-8227
Mailing Address820 Lilac Dr N Ste 170Golden Valley, MN 55422-0700 · (763) 202-5037
Phone(763) 276-7076
Organization SubpartNo
Authorized OfficialShoshana FriedlerBilling Director · (612) 578-2432
Enumeration DateAugust 5, 2019
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1811542160 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.
11124 183RD CIR NW, Elk River, MN 55330
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Other Names 1

Doing Business AsElk River 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 24D2169931

Elk River Senior Care LLC · Elk River, MN
Active · expires Jul 29, 2027
CLIA Number24D2169931
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorShari Kish Neal
Laboratory Phone(763) 276-7076
Laboratory LocationElk River Senior Care LLC11124 183rd Circle NW, Elk River, MN 55330
CLIA data matches this NPI record on: 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 Elk River Operations, LLC's NPI number?

The NPI number for Elk River Operations, LLC is 1811542160. It was assigned to this organization in the NPPES registry on August 5, 2019. The provider is doing business as Elk River Senior Living.

Where is Elk River Operations, LLC located?

Elk River Operations, LLC is located at 11124 183rd Cir NW, Elk River, MN 55330. The listed phone number is (763) 276-7076.

What is Elk River Operations, LLC's specialty?

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

Does Elk River Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2169931) is associated with this NPI, valid through July 29, 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 Elk River Operations, LLC was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.