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LONG LAKE ASSISTED LIVING
NPI 1851470314
Assisted Living Facility in Long Lake, MN

Active since November 03, 2006CLIA 24D1031090 · Waiver
345 N BROWN RD, LONG LAKE, MN 55356(953) 473-2527(952) 404-9701 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Lake Assisted Living NPPES

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

LONG LAKE ASSISTED LIVING (NPI 1851470314) is a healthcare organization registered as an assisted living facility in Long Lake, Minnesota and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Kati Grengs, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1851470314
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLONG LAKE ASSISTED LIVING
Location Address345 N BROWN RDLong Lake, MN 55356
Mailing Address345 N Brown RdLong Lake, MN 55356 · (953) 473-2527 · Fax (952) 404-9701
Phone(953) 473-2527
Fax(952) 404-9701
Organization SubpartNo
Authorized OfficialKati GrengsDirector Of Operations · (952) 473-2527
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 15, 2007
✔ NPI 1851470314 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.
345 N BROWN RD, Long Lake, MN 55356
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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 24D1031090

Long Lake Assisted Living · Long Lake, MN
Active · expires Sep 22, 2026
CLIA Number24D1031090
Laboratory TypeOther
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorBridgette L. Kelly
Laboratory Phone(952) 473-2527
Laboratory LocationLong Lake Assisted Living345 N Brown Road, Long Lake, MN 55356
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 Long Lake Assisted Living's NPI number?

The NPI number for Long Lake Assisted Living is 1851470314. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Long Lake Assisted Living located?

Long Lake Assisted Living is located at 345 N Brown Rd, Long Lake, MN 55356. The listed phone number is (953) 473-2527.

What is Long Lake Assisted Living's specialty?

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

Does Long Lake Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1031090) is associated with this NPI, valid through September 22, 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 Long Lake Assisted Living was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.