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MINNESOTA SENIOR LIVING LLC NPI 1104359827


NPI Information

NPI: 1104359827
Provider Name: MINNESOTA SENIOR LIVING, LLC

Doing Business As: THE RIVERS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2048716

Address:
11111 RIVER HILLS DR
BURNSVILLE, MN
ZIP 55337
Phone: (952) 890-8553
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MINNESOTA SENIOR LIVING, LLC is an assisted living facility in Burnsville, MN. The provider is 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. MINNESOTA SENIOR LIVING, LLC NPI is 1104359827. The provider is registered as an organization entity type.
The provider Is Doing Business As The Rivers.

The provider's business location address is:

11111 RIVER HILLS DR
BURNSVILLE, MN
ZIP 55337-259
Phone: (952) 890-8553
Fax: (950) 890-9320

The provider's authorized official is Jennifer Kristine Ensign .
The authorized official title is Executive Director and has the following contact phone number (952) 890-8553.

The CLIA number assigned to this NPI record is 24D2048716 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility380943MINNESOTANo
2310400000XAssisted Living Facility378575MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.