1. Home
  2. Directory
  3. Minnesota
  4. Prior Lake
  5. Assisted Living Facility
  6. NPI Profile

SHEPHERDS PATH SENIOR HOUSING,INC.
NPI 1972929131
Assisted Living Facility in Prior Lake, MN

Active since March 12, 2014CLIA 24D2032778 · Waiver
13810 SHEPHERDS PATH NW, PRIOR LAKE, MN 55379(952) 230-3300 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shepherds Path Senior Housing,inc. NPPES

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

SHEPHERDS PATH SENIOR HOUSING,INC. (NPI 1972929131) is a healthcare organization registered as an assisted living facility in Prior Lake, Minnesota and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Mark Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972929131
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHEPHERDS PATH SENIOR HOUSING,INC.
Location Address13810 SHEPHERDS PATH NWPrior Lake, MN 55379-2455
Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6432 · Fax (651) 631-6122
Phone(952) 230-3300
Organization SubpartNo
Authorized OfficialMark MeyerCfo · (651) 631-6102
Enumeration DateMarch 12, 2014
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1972929131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 344524
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.
13810 SHEPHERDS PATH NW, Prior Lake, MN 55379
Open in Google Maps ↗

Other Names 1

Other NameMckenna Crossing

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 24D2032778

Shepherd's Path Senior Housing Inc · Prior Lake, MN
Active · expires Nov 14, 2027
CLIA Number24D2032778
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorSara Rosado
Laboratory Phone(952) 230-3300
Laboratory LocationShepherd's Path Senior Housing Inc13810 Shepherd's Path, Prior Lake, MN 55372
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISA JOANNE TITZE GROTHE
Speech-Language Pathologist
13810 SHEPHERDS PATH NW
PRIOR LAKE, MN 55379
Scott County (952) 230-3300
OPTAGE INC
Clinic/Center (Rehabilitation)
13810 SHEPHERDS PATH NW
PRIOR LAKE, MN 55379
Scott County (651) 631-6570
MELANIE GREENINGER
Occupational Therapist
13810 SHEPHERDS PATH NW
PRIOR LAKE, MN 55379
Scott County (952) 230-3300

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 Shepherds Path Senior Housing,inc.'s NPI number?

The NPI number for Shepherds Path Senior Housing,inc. is 1972929131. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider is also known as Mckenna Crossing.

Where is Shepherds Path Senior Housing,inc. located?

Shepherds Path Senior Housing,inc. is located at 13810 Shepherds Path NW, Prior Lake, MN 55379. The listed phone number is (952) 230-3300.

What is Shepherds Path Senior Housing,inc.'s specialty?

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

Does Shepherds Path Senior Housing,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2032778) is associated with this NPI, valid through November 14, 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 Shepherds Path Senior Housing,inc. was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.