LONG LAKE ASSISTED LIVING (NPI# 1851470314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851470314 |
| Entity Type | Organization |
| Organization Name | LONG LAKE ASSISTED LIVING |
| Practice Address |
345 N Brown Rd Long Lake MN 55356 |
| Practice Telephone | 9534732527 |
| Practice Fax Number | 9524049701 |
| Mailing Telephone | 9534732527 |
| Mailing Fax Number | 9524049701 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-08-15 |
| Authorized Official Name | MRS. KATI GRENGS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9524732527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
345 N BROWN RD |
| City | LONG LAKE |
| State | MN |
| Zip Code | 55356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497136014 | Brianna B. Hammer | Dentist | 2765 Kelley Parkway, Suite 140, Orono, MN 55356 | 2015-06-10 |
| 1336279926 | Nicholas John Froehling | Chiropractor | 2060 West Wayzata Blvd, Suite 150, Orono, MN 55356 | 2007-03-06 |
| 1871654343 | Thomas Lee Sawyer Jr. | Psychologist | 3405 Co Rd 6, Orono, MN 55356 | 2006-12-12 |
| 1679678973 | Douglas John Mcnaught | Dentist | 1870 W. Wayzata Blvd., Long Lake, MN 55356 | 2006-09-13 |
| 1245690874 | Diane Pease | Massage Therapist | 2160 W Wayzata Blvd, Long Lake, MN 55356-1100 | 2016-02-24 |
| 1902341589 | Michael Joseph Sherman | Massage Therapist | 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 | 2017-01-05 |
| 1376584656 | Michael W. Schwartz | Chiropractor | 1865 W Wayzata Blvd, Ste 200, Long Lake, MN 55356-4100 | 2006-06-09 |
| 1871025031 | Chirocenter Inc. | Chiropractor | 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 | 2017-03-28 |
| 1255791745 | West Lake Counseling and Wellness, Inc | Social Worker | 1613 W Wayzata Blvd Ste B, Long Lake, MN 55356-4103 | 2016-02-26 |
| 1356678122 | Christine Burnell Marston | Psychologist | 810 Willow View Dr, Orono, MN 55356-4302 | 2009-11-15 |
| Find all providers in zip 55356 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on LONG LAKE ASSISTED LIVING.
| 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.