GRACEFUL LIVING LLC
NPI 1982429221
Assisted Living Facility in Lakeville, MN
About Graceful Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACEFUL LIVING LLC (NPI 1982429221) is a healthcare organization registered as an assisted living facility in Lakeville, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Istahil Mohamed Ali, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2319608
Graceful Living LLC · Lakeville, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Graceful Living LLC's NPI number?
The NPI number for Graceful Living LLC is 1982429221. It was assigned to this organization in the NPPES registry on November 21, 2024.
Where is Graceful Living LLC located?
Graceful Living LLC is located at 17862 Essex Ln, Lakeville, MN 55044. The listed phone number is (612) 472-2983.
What is Graceful Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Graceful Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2319608) is associated with this NPI, valid through March 3, 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 Graceful Living LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Graceful Living Llc · NPI 1982429221
Assisted Living Facility organization in Lakeville, Minnesota. Organization record, active in the CMS NPPES registry since November 21, 2024.
## Identity
- **NPI:** 1982429221 (Entity type: Organization)
- **Enumerated:** November 21, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Istahil Ali, PRESIDENT & CEO
## Practice location
- **Address:** 17862 ESSEX LN, Lakeville, MN 55044-4825
- **Phone:** (612) 472-2983
## Record status
- **NPPES last updated:** November 21, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982429221) · Data from the CMS NPPES public registry.