CSL ROSE ARBOR NPI 1134278112

NPI Information

  • NPI: 1134278112
  • Provider Name: CSL ROSE ARBOR
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ROSE ARBOR
  • CLIA Number: 24D2201438
  • Address: 16500 92ND AVE N
    MAPLE GROVE, MN
    ZIP 55311
  • Phone: (763) 493-5910

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NPI Details

CSL ROSE ARBOR is an assisted living facility in Maple Grove, 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. CSL ROSE ARBOR NPI is 1134278112. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose Arbor.

The provider's business location address is:

16500 92ND AVE N
MAPLE GROVE, MN
ZIP 55311-444
Phone: (763) 493-5910
Fax: (763) 420-5728

The provider's authorized official is Shelley Ann Mcdonald .
The authorized official title is Executive Director and has the following contact phone number (763) 493-5910.

The CLIA number assigned to this NPI record is 24D2201438 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 1/20/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility141657000MINNESOTAYes

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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