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BLC-EDINA PARK PLAZA, LLC
NPI 1851083166
Assisted Living Facility in Edina, MN

Active since May 24, 2023CLIA 24D1099298 · Waiver
3330 EDINBOROUGH WAY, EDINA, MN 55435(952) 831-4084 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blc-edina Park Plaza, Llc NPPES

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

BLC-EDINA PARK PLAZA, LLC (NPI 1851083166), doing business as Brookdale Edina, is a healthcare organization registered as an assisted living facility in Edina, Minnesota and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Joanne Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1851083166
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLC-EDINA PARK PLAZA, LLC
Location Address3330 EDINBOROUGH WAYEdina, MN 55435-5256
Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5000
Phone(952) 831-4084
Organization SubpartNo
Authorized OfficialJoanne LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1851083166 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.
3330 EDINBOROUGH WAY, Edina, MN 55435
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Other Names 1

Doing Business AsBrookdale Edina

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 24D1099298

Blc-Edina Park Plaza, LLC Dba Brookdale Edina · Edina, MN
Active · expires Aug 21, 2026
CLIA Number24D1099298
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorSarah Mcdonagh
Laboratory Phone(952) 831-4084
Laboratory LocationBlc-Edina Park Plaza, LLC Dba Brookdale Edina3330 Edinborough Way, Edina, MN 55435
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 Blc-Edina Park Plaza, LLC's NPI number?

The NPI number for Blc-Edina Park Plaza, LLC is 1851083166. It was assigned to this organization in the NPPES registry on May 24, 2023. The provider is doing business as Brookdale Edina.

Where is Blc-Edina Park Plaza, LLC located?

Blc-Edina Park Plaza, LLC is located at 3330 Edinborough Way, Edina, MN 55435. The listed phone number is (952) 831-4084.

What is Blc-Edina Park Plaza, LLC's specialty?

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

Does Blc-Edina Park Plaza, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1099298) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blc-Edina Park Plaza, LLC was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.