CHIMNEY PINES LLC NPI 1003683913

NPI Information

  • NPI: 1003683913
  • Provider Name: CHIMNEY PINES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 10452 SPYGLASS DR
    EDEN PRAIRIE, MN
    ZIP 55347
  • Phone: (612) 508-8743

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NPI Details

CHIMNEY PINES LLC is an assisted living facility in Eden Prairie, 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. CHIMNEY PINES LLC NPI is 1003683913. The provider is registered as an organization entity type.

The provider's business location address is:

10452 SPYGLASS DR
EDEN PRAIRIE, MN
ZIP 55347-656
Phone: (612) 508-8743

The provider's authorized official is Phouvieng Sivilay .
The authorized official title is Director/manager and has the following contact phone number (612) 508-8743.

The enumeration date for this NPI number is 12/11/2023 and was last updated on 12/11/2023.

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: 11/21/2025

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