SUITE LIVING SENIOR CARE OF PLYMOUTH
NPI 1972471746
Assisted Living Facility in Plymouth, MN

Active since October 24, 2025CLIA 24D2336175 · Waiver
4335 ZACHARY LANE, PLYMOUTH, MN 55442(651) 770-2273 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Suite Living Senior Care Of Plymouth NPPES

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

SUITE LIVING SENIOR CARE OF PLYMOUTH (NPI 1972471746) is a healthcare organization registered as an assisted living facility in Plymouth, Minnesota and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Audrey Mcelwain, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1972471746
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUITE LIVING SENIOR CARE OF PLYMOUTH
Location Address4335 ZACHARY LANEPlymouth, MN 55442
Mailing Address4335 Zachary Ln NPlymouth, MN 55442-2801
Organization SubpartNo
Authorized OfficialAudrey McelwainDirector Of Operations · (651) 770-2273
Enumeration DateOctober 24, 2025
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1972471746 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.
4335 ZACHARY LANE, Plymouth, MN 55442

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 24D2336175

Suite Living Of Plymouth · Plymouth, MN
Active · expires Dec 23, 2027
CLIA Number24D2336175
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorMichele M. Nyarecha
Laboratory Phone(651) 770-2273
Laboratory LocationSuite Living Of Plymouth4335 Zachary Lane, Plymouth, MN 55442
CLIA data matches this NPI record on: Address 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 Suite Living Senior Care Of Plymouth's NPI number?

The NPI number for Suite Living Senior Care Of Plymouth is 1972471746. It was assigned to this organization in the NPPES registry on October 24, 2025.

Where is Suite Living Senior Care Of Plymouth located?

Suite Living Senior Care Of Plymouth is located at 4335 Zachary Lane, Plymouth, MN 55442. The listed phone number is (651) 770-2273.

What is Suite Living Senior Care Of Plymouth's specialty?

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

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

Yes. A Certificate of Waiver (number 24D2336175) is associated with this NPI, valid through December 23, 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 Plymouth was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.