Shepherds Inn Assisted Living Inc
Organization Active NPI Assisted Living Facility · Wells, MN
NPI 1649970484 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1649970484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- SHEPHERDS INN ASSISTED LIVING INC
- Practice address
- 46 1St Ave SW
Wells, MN 56097-1932 - Phone
- (507) 553-6217
- Fax
- (507) 553-6830
- NPI assigned
- Mar 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Carol Lynn Schroeder
- Title
- President
- Phone
- (701) 388-2888
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1029230 | Shepherds Inn Assisted Living Inc | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
Locations
46 1st Ave SW
Wells, MN 56097
Phone (507) 553-6217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
46 1St Ave SW
Wells, MN 56097-1932
Mailing address
64667 150TH St
Alden, MN 56009-5550
Phone (701) 388-2888
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All providers in Wells, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.