SENIOR LIVING LLC NPI 1437796976

NPI Information

NPI: 1437796976
Provider Name: SENIOR LIVING LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
CLIA Number: 24D2199525
Address: 7949 BRUNSWICK AVE N
BROOKLYN PARK, MN
ZIP 55443
Phone: (763) 400-1819

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NPI Details

SENIOR LIVING LLC is a community based residential treatment facility mental illness in Brooklyn Park, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SENIOR LIVING LLC NPI is 1437796976. The provider is registered as an organization entity type.

The provider's business location address is:

7949 BRUNSWICK AVE N
BROOKLYN PARK, MN
ZIP 55443-037
Phone: (763) 400-1819

The provider's authorized official is Ankur Chopra .
The authorized official title is Owner and has the following contact phone number (763) 400-1819.

The CLIA number assigned to this NPI record is 24D2199525 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2019 and was last updated on 9/9/2022.

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	Primary
1	174200000X	Meals	No
2	177F00000X	Lodging	No
3	310400000X	Assisted Living Facility	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness	Yes

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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