Active NPI
Benedictine Living Community of Northfield, LLC
- Assisted Living Facility
- Northfield, MN
National Provider Identifier
1639734635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC
- Practice address
- 2030 North Avenue
Northfield, MN 55057 - Phone
- (612) 991-6519
- NPI assigned
- May 6, 2019
- Last updated
- Jan 22, 2026
- Organization subpart
- Yes
- Parent organization
- BENEDICTINE HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pennie Viggiano
- Title
- VP of HCBS
- Phone
- (651) 529-8788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2030 North Avenue
Northfield, MN 55057
Mailing address
2030 North Ave
Northfield, MN 55057-1587
Phone (507) 512-5720
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2169050 | Benedictine Living Community of Northfield, LLC | Certificate of waiver | Jul 14, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1639734635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571587",
"telephone_number": "507-512-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 NORTH AVENUE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "55057",
"telephone_number": "612-991-6519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BENEDICTINE HEALTH SYSTEM",
"enumeration_date": "2019-05-06",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "VIGGIANO",
"authorized_official_first_name": "PENNIE",
"authorized_official_title_or_position": "VP OF HCBS",
"authorized_official_telephone_number": "651-529-8788"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.