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PERSONAL CARE SENIOR LIVING LLC NPI 1447973433


NPI Information

NPI: 1447973433
Provider Name: PERSONAL CARE SENIOR LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2214139

Address:
525 CUTTER STREET
ANOKA, MN
ZIP 55303
Phone: (763) 335-9590
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PERSONAL CARE SENIOR LIVING, LLC is an assisted living facility in Anoka, 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. PERSONAL CARE SENIOR LIVING, LLC NPI is 1447973433. The provider is registered as an organization entity type.

The provider's business location address is:

525 CUTTER STREET
ANOKA, MN
ZIP 55303
Phone: (763) 335-9590
Fax: (763) 402-7669

The provider's authorized official is Matthew James Just .
The authorized official title is Licensed Assisted Living Director, and has the following contact phone number (218) 464-7289.

The CLIA number assigned to this NPI record is 24D2214139 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2022 and was last updated on 9/23/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 5/5/2024

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