MINNESOTA SENIOR LIVING LLC (NPI# 1548505027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548505027 |
Entity Type | Organization |
Organization Name | MINNESOTA SENIOR LIVING LLC |
Other Organization Name | TRADITION |
Practice Address |
8500 Tessman Farm Rd N Brooklyn Park MN 55445-2297 |
Mailing Address |
915 118th Ave Se 110 Bellevue WA 98005-3819 |
Practice Telephone | 7634167740 |
Practice Fax Number | 7634252093 |
Mailing Telephone | 4255596301 |
Mailing Fax Number | 4255596302 |
Enumeration Date | 2012-12-10 |
Last Update Date | 2017-04-13 |
Authorized Official Name | MARK MULLEN (DIRECTOR OF STRATEGIC PARTNERSHIPS) |
Authorized Official Telephone | 4255596325 |
Is Organization Subpart | Y |
Parent Organization Name | PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Tradition | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780929257 | Minnesota Senior Living LLC | Assisted Living Facility | 3000 Douglas Dr N, Crystal, MN 55422-2452 | 2012-12-10 |
1356686836 | Minnesota Senior Living LLC | Assisted Living Facility | 6288 Louisiana Ct N, Brooklyn Park, MN 55428-2550 | 2012-12-10 |
1720593353 | Minnesota Senior Living LLC | Assisted Living Facility | 163 Wayzata Blvd W, Wayzata, MN 55391-1562 | 2017-12-05 |
Street Address |
8500 TESSMAN FARM RD N |
City | BROOKLYN PARK |
State | MN |
Zip Code | 55445-2297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
Find all providers in zip 55445 |
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 |
---|---|---|---|---|
1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
1134740939 | Suite Living Senior Care of Brooklyn Park | Assisted Living Facility | 8500 Regent Ave N, Brooklyn Park, MN 55443-2391 | 2020-05-03 |
1730716804 | Kindheart Homes Inc | Assisted Living Facility | 2308 87th Trl N, Brooklyn Park, MN 55443-3732 | 2020-03-26 |
1992344402 | Joy Care Homes LLC | Assisted Living Facility | 6825 71st Ave N, Brooklyn Park, MN 55428-1736 | 2019-12-31 |
1205474236 | Joy Care Homes LLC | Assisted Living Facility | 4301 78th Ave N, Brooklyn Park, MN 55443-3403 | 2019-12-20 |
1265079404 | Phinsaykeo Souriyathay | Assisted Living Facility | 9300 Penn Ave N, Brooklyn Park, MN 55444-1166 | 2019-12-06 |
1306493077 | Royal Home Care Inc | Assisted Living Facility | 7832 Penn Ave N, Brooklyn Park, MN 55444-1847 | 2019-08-19 |
1932688223 | Bethel Pavilion Homecare LLC | Assisted Living Facility | 3816 83rd Ave N, Brooklyn Park, MN 55443-2753 | 2018-08-08 |
1356686836 | Minnesota Senior Living LLC | Assisted Living Facility | 6288 Louisiana Ct N, Brooklyn Park, MN 55428-2550 | 2012-12-10 |
1487913885 | Empowerment Healthcare, LLC | Assisted Living Facility | 8125 France Ave N, Brooklyn Park, MN 55443-2714 | 2012-05-07 |
Find all providers in BROOKLYN PARK |
City | BROOKLYN PARK |
Zip Code | 55445 |
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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.