MINNESOTA SENIOR LIVING LLC


Address: 8500 Tessman Farm Rd N, Brooklyn Park, MN 55445-2297
Phone: 7634167740

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Tradition Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 8500 TESSMAN FARM RD N
City BROOKLYN PARK
State MN
Zip Code 55445-2297

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BROOKLYN PARK
Zip Code 55445

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Dataset Information

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.

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