KEYSTONE FIVE STAR LLC NPI 1518084847

NPI Information

NPI: 1518084847
Provider Name: KEYSTONE FIVE STAR LLC

Doing Business As: KEYSTONE BLUFFS ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2528 TRINITY RD
DULUTH, MN
ZIP 55811
Phone: (218) 727-2800
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KEYSTONE FIVE STAR LLC is an assisted living facility in Duluth, 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. KEYSTONE FIVE STAR LLC NPI is 1518084847. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Bluffs Assisted Living.

The provider's business location address is:

2528 TRINITY RD
DULUTH, MN
ZIP 55811-315
Phone: (218) 727-2800

The provider's authorized official is Lynn Gevik .
The authorized official title is Coo and has the following contact phone number (218) 625-2316.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 7/25/2008.

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
1	310400000X	Assisted Living Facility		336667	MINNESOTA	No
2	310400000X	Assisted Living Facility		334218	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41-1936451	OTHER	MINNESOTA	FIRST PLAN OF MINNESOTA
2	660078000	OTHER	MINNESOTA	STATE OF MN PROVIDER #
3	411936451	OTHER	MINNESOTA	MEDICA

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

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