HCRI SUN III TENANT LP NPI 1417126202

NPI Information

  • NPI: 1417126202
  • Provider Name: HCRI SUN III TENANT, LP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUNRISE OF MINNETONKA
  • CLIA Number: 24D1048156
  • Address: 18605 OLD EXCELSIOR BLVD
    MINNETONKA, MN
    ZIP 55345
  • Phone: (952) 474-9155

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NPI Details

HCRI SUN III TENANT, LP is an assisted living facility in Minnetonka, 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. HCRI SUN III TENANT, LP NPI is 1417126202. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of Minnetonka.

The provider's business location address is:

18605 OLD EXCELSIOR BLVD
MINNETONKA, MN
ZIP 55345-120
Phone: (952) 474-9155
Fax: (752) 474-9171

The provider's authorized official is Tony J. Harris .
The authorized official title is Senior Reimbursement Manager and has the following contact phone number (703) 854-0830.

The CLIA number assigned to this NPI record is 24D1048156 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 12/16/2024.

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: 3/30/2025

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