CHAMPLIN SHORES LLC (NPI# 1194845107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194845107 |
| Entity Type | Organization |
| Organization Name | CHAMPLIN SHORES LLC |
| Other Organization Name | CHAMPLIN SHORES |
| Practice Address |
119 Hayden Lake Rd E Champlin MN 55316-1547 |
| Mailing Address |
3723 Fairview Industrial Dr Se Ste 270 Salem OR 97302-4975 |
| Practice Telephone | 7637120118 |
| Mailing Telephone | 5034854600 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (MANAGER) |
| Authorized Official Telephone | 5034854600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 333870 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CHAMPLIN SHORES | Doing Business As Name - Organization |
| Street Address |
119 HAYDEN LAKE RD E |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376673 | Lcs Champlin LLC | Assisted Living Facility | 119 Hayden Lake Rd E, Champlin, MN 55316-1547 | 2019-09-25 |
| 1992019244 | Emeritus Corporation | Assisted Living Facility | 119 Hayden Lake Rd E, Champlin, MN 55316-1547 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| 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 |
|---|---|---|---|---|
| 1760951453 | Joy Care Homes LLC | Assisted Living Facility | 11900 Quebec Cir, Champlin, MN 55316-2234 | 2018-11-25 |
| 1073090429 | Gabby Care Homes LLC | Assisted Living Facility | 1512 Pennsylvania Ave N, Champlin, MN 55316-2017 | 2018-07-27 |
| 1427550136 | Bickford of Champlin, LLC | Assisted Living Facility | 11469 Jefferson Ct, Champlin, MN 55316-4532 | 2018-03-08 |
| 1194376673 | Lcs Champlin LLC | Assisted Living Facility | 119 Hayden Lake Rd E, Champlin, MN 55316-1547 | 2019-09-25 |
| 1952871634 | Gabby Care Homes LLC | Assisted Living Facility | 1512 Pennsylvania Ave N, Champlin, MN 55316-2017 | 2018-11-26 |
| 1992019244 | Emeritus Corporation | Assisted Living Facility | 119 Hayden Lake Rd E, Champlin, MN 55316-1547 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| 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.