MINNESOTA COMMUNITY HOSPICE INC NPI 1275717936

NPI Information

  • NPI: 1275717936
  • Provider Name: MINNESOTA COMMUNITY HOSPICE INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE LODGE ON SUMMIT OAKS
  • CLIA Number: 24D1084493
  • Address: 1412 SUMMIT OAKS DR
    BURNSVILLE, MN
    ZIP 55337
  • Phone: (952) 431-9120

Map and Directions

Get Directions

NPI Details

MINNESOTA COMMUNITY HOSPICE INC 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 COMMUNITY HOSPICE INC NPI is 1275717936. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lodge On Summit Oaks.

The provider's business location address is:

1412 SUMMIT OAKS DR
BURNSVILLE, MN
ZIP 55337-744
Phone: (952) 431-9120
Fax: (952) 431-9123

The provider's authorized official is Gerald John Mcgowan .
The authorized official title is Cfo and has the following contact phone number (651) 319-1295.

The CLIA number assigned to this NPI record is 24D1084493 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 1/26/2015.

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 FacilityCLASS F HOME CARE PRMINNESOTAYes

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
1789488000MEDICAIDMINNESOTA

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI