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KAYLI RESIDENCE LLC
NPI 1811688971
Assisted Living Facility in Brooklyn Park, MN

Active since May 18, 2023CLIA 24D2289106 · Waiver
8256 SCOTT AVE N, BROOKLYN PARK, MN 55443(678) 300-1300 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kayli Residence Llc NPPES

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

KAYLI RESIDENCE LLC (NPI 1811688971) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Victoria Munyeka, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811688971
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKAYLI RESIDENCE LLC
Location Address8256 SCOTT AVE NBrooklyn Park, MN 55443-2225
Mailing Address8256 Scott Ave NBrooklyn Park, MN 55443-2225 · (678) 300-1300
Phone(678) 300-1300
Organization SubpartNo
Authorized OfficialVictoria MunyekaAdministrator · (678) 300-1300
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1811688971 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.
8256 SCOTT AVE N, Brooklyn Park, MN 55443
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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 24D2289106

Kayli Residence LLC · Brooklyn Park, MN
Active · expires Sep 5, 2027
CLIA Number24D2289106
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorVictoria Munyeka
Laboratory Phone(678) 300-1300
Laboratory LocationKayli Residence LLC8256 Scott Avenue North, Brooklyn Park, MN 55443
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 Kayli Residence LLC's NPI number?

The NPI number for Kayli Residence LLC is 1811688971. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Kayli Residence LLC located?

Kayli Residence LLC is located at 8256 Scott Ave N, Brooklyn Park, MN 55443. The listed phone number is (678) 300-1300.

What is Kayli Residence LLC's specialty?

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

Does Kayli Residence LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2289106) is associated with this NPI, valid through September 5, 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 Kayli Residence LLC was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.