MINNESOTA SENIOR LIVING, LLC (NPI# 1104359827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104359827 |
| Entity Type | Organization |
| Organization Name | MINNESOTA SENIOR LIVING, LLC |
| Other Organization Name | THE RIVERS |
| Practice Address |
11111 River Hills Dr Burnsville MN 55337-3259 |
| Practice Telephone | 9528908553 |
| Practice Fax Number | 9508909320 |
| Mailing Telephone | 9528908553 |
| Mailing Fax Number | 9528909320 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | JENNIFER KRISTINE ENSIGN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9528908553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 380943 | MN | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 378575 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Rivers | Doing Business As Name - Organization |
| Street Address |
11111 RIVER HILLS DR |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-3259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1861818023 | Phs Burnsville, LLC | Assisted Living Facility | 1921 W Burnsville Pkwy, Burnsville, MN 55337-4240 | 2014-03-12 |
| 1073858551 | The Rivers Operations LLC | Assisted Living Facility | 11151 River Hills Dr, Burnsville, MN 55337-3266 | 2012-12-10 |
| 1669701504 | Augustana Emerald Care LLC | Assisted Living Facility | 451 E Travelers Trl, Burnsville, MN 55337-2891 | 2009-12-23 |
| 1689902553 | Burnsville Operating Al, LLC | Assisted Living Facility | 6 Cooper Ln, Burnsville, NC 28714-2959 | 2009-12-03 |
| 1275717936 | Minnesota Community Hospice Inc | Assisted Living Facility | 1412 Summit Oaks Dr, Burnsville, MN 55337-4744 | 2007-12-18 |
| 1134251572 | Mountain Manor Assisted Living, LLC | Assisted Living Facility | 270 Love Fox Road, Burnsville, NC 28714-9109 | 2007-03-12 |
| 1174676548 | Augustana Senior Development, LLC | Assisted Living Facility | 14500 Regent Ln, Burnsville, MN 55306-5556 | 2007-01-19 |
| 1649669193 | The Lodges Company | Assisted Living Facility | 1412 Summit Oaks Dr, Burnsville, MN 55337-4744 | 2015-01-21 |
| 1285970913 | Wp-burnsville Health Holdings, LLC | Assisted Living Facility | 6 Cooper Ln, Burnsville, NC 28714-2959 | 2012-12-28 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on MINNESOTA SENIOR LIVING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.