Organization Active NPI

Lily of the Valley LLC

  • Skilled Nursing Facility
  • Cottage Grove, MN
National Provider Identifier
1851217327
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LILY OF THE VALLEY LLC
Practice address
8934 Grenadier Ave S
Cottage Grove, MN 55016-2779
Phone
(952) 846-7885
Fax
(651) 432-9458
NPI assigned
Jun 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ifeoma Amaikwu-Cley
Title
Owner
Phone
(952) 846-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8934 Grenadier Ave S
Cottage Grove, MN 55016-2779

Mailing address

8934 Grenadier Ave S
Cottage Grove, MN 55016-2779
Phone (952) 846-7885

National Provider Directory

National Provider Directory
Tax ID family
Lily of the Valley LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1851217327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8934 GRENADIER AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162779",
            "telephone_number": "952-846-7885",
            "fax_number": "651-432-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 GRENADIER AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162779",
            "telephone_number": "952-846-7885",
            "fax_number": "651-432-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY OF THE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "AMAIKWU-CLEY",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-846-7885"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.