LINO LAKES GW, LLC (NPI# 1720462617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720462617 |
| Entity Type | Organization |
| Organization Name | LINO LAKES GW, LLC |
| Practice Address |
675 Market Place Drive Lino Lakes MN 55014 |
| Mailing Address |
750 Main St Mendota Heights MN 55118-3764 |
| Practice Telephone | 6512870265 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | SARAH PAULEY (BUSINESS MANAGER) |
| Authorized Official Telephone | 6512870265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 372756 | MN | Nursing & Custodial Care Facilities |
| Street Address |
675 MARKET PLACE DRIVE |
| City | LINO LAKES |
| State | MN |
| Zip Code | 55014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007918 | Andrea Bistodeau | Pharmacist | 4369 Ball Road Ne, Blaine, MN 55014 | 2020-06-13 |
| 1578973376 | Beth Ann Schumacher | Counselor | 49 Central St Ste 2, Circle Pines, MN 55014 | 2014-05-01 |
| 1326479080 | Susan Grissom | Speech-Language Pathologist | 6776 Lake Drive, Advance Therapy, Lino Lakes, MN 55014 | 2013-12-06 |
| 1154759173 | Jennifer Cunningham | Massage Therapist | 3865 97th Ln Ne, Blaine, MN 55014 | 2013-10-30 |
| 1760695316 | Carol Elaine Jillian-ohana | Chiropractor | 7094 Lake Drive, Circle of Healing Arts, Lino Lakes, MN 55014 | 2007-05-08 |
| 1750434064 | Pamela Lynn Lenz | Speech-Language Pathologist | 6776 Lake Dr., #220, Lino Lakes, MN 55014 | 2007-01-19 |
| 1447342118 | David Joseph Beyer | Counselor | 7578 Leonard Ave., Lino Lakes, MN 55014 | 2006-09-29 |
| 1710089156 | Joel David Buys | Chiropractor | 7661 Lake Dr, Lino Lakes, MN 55014 | 2006-09-05 |
| 1881655538 | John M Stentz | Dentist | 640 Civic Heights Dr, Circle Pines, MN 55014 | 2006-03-31 |
| 1417556853 | Dai Hoang | Pharmacist | 4369 Ball Road Ne, Blaine, MN 55014 | 2020-10-17 |
| Find all providers in zip 55014 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | LINO LAKES |
| Zip Code | 55014 |
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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.