Organization Active NPI

Benedictine Living Community of Northfield, LLC

  • Assisted Living Facility
  • Northfield, MN
National Provider Identifier
1639734635
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BENEDICTINE HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2169050Benedictine Living Community of Northfield, LLC2030 North Avenue, Northfield, MN 55057Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.