SUITE LIVING SENIOR CARE OF FOREST LAKE
NPI 1891406336
Assisted Living Facility in Forest Lake, MN

Q: What is Suite Living Senior Care Of Forest Lake's specialty?

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

Active since December 06, 2022CLIA 24D2293589 · Waiver

19839 HEADWATERS BLVD NORTH, FOREST LAKE, MN 55025(651) 770-2273(651) 666-1975 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Suite Living Senior Care Of Forest Lake NPPES

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

SUITE LIVING SENIOR CARE OF FOREST LAKE (NPI 1891406336) is a healthcare organization registered as an assisted living facility in Forest Lake, Minnesota and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Audrey Mcelwain, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1891406336

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUITE LIVING SENIOR CARE OF FOREST LAKE

Location Address19839 HEADWATERS BLVD NORTHForest Lake, MN 55025

Mailing Address19839 Headwaters Blvd NorthForest Lake, MN 55025 · (651) 770-2273 · Fax (651) 666-1975

Phone(651) 770-2273

Fax(651) 666-1975

Organization SubpartNo

Authorized OfficialAudrey McelwainDirector Of Operations · (651) 770-2273

Enumeration DateDecember 6, 2022

NPPES CertifiedDecember 2, 2022

✔ NPI 1891406336 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.

19839 HEADWATERS BLVD NORTH, Forest Lake, MN 55025

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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 24D2293589

Suite Living Senior Care Of Forest Lake · Forest Lake, MN

Active · expires Nov 12, 2027

CLIA Number24D2293589

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 13, 2025

Certificate Expiration DateNovember 12, 2027

Laboratory DirectorMichele Nyarecha

Laboratory Phone(651) 289-6756

Laboratory LocationSuite Living Senior Care Of Forest Lake19839 Headwaters Blvd North, Forest Lake, MN 55025

CLIA data matches this NPI record on: Address Name

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 Suite Living Senior Care Of Forest Lake's NPI number?

The NPI number for Suite Living Senior Care Of Forest Lake is 1891406336. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Suite Living Senior Care Of Forest Lake located?

Suite Living Senior Care Of Forest Lake is located at 19839 Headwaters Blvd North, Forest Lake, MN 55025. The listed phone number is (651) 770-2273.

What is Suite Living Senior Care Of Forest Lake's specialty?

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

Does Suite Living Senior Care Of Forest Lake hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2293589) is associated with this NPI, valid through November 12, 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 Suite Living Senior Care Of Forest Lake was last updated on December 6, 2022. 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.