CHAMPIONS VILLAGE LLC NPI 1457973273

NPI Information

  • NPI: 1457973273
  • Provider Name: CHAMPIONS VILLAGE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2213426
  • Address: 7899 ALDEN WAY NE
    FRIDLEY, MN
    ZIP 55432
  • Phone: (612) 817-5100

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NPI Details

CHAMPIONS VILLAGE, LLC is an assisted living facility in Fridley, 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. CHAMPIONS VILLAGE, LLC NPI is 1457973273. The provider is registered as an organization entity type.

The provider's business location address is:

7899 ALDEN WAY NE
FRIDLEY, MN
ZIP 55432-408
Phone: (612) 817-5100

The provider's authorized official is Lali Galan .
The authorized official title is President & Ceo and has the following contact phone number (612) 817-5100.

The CLIA number assigned to this NPI record is 24D2213426 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.

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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