KEYSTONE FIVE STAR LLC NPI 1518084847

NPI Information

  • NPI: 1518084847
  • Provider Name: KEYSTONE FIVE STAR LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: KEYSTONE BLUFFS ASSISTED LIVING
  • Address: 2528 TRINITY RD
    DULUTH, MN
    ZIP 55811
  • Phone: (218) 727-2800

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NPI Details

KEYSTONE FIVE STAR LLC is an assisted living facility in Duluth, 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. KEYSTONE FIVE STAR LLC NPI is 1518084847. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Bluffs Assisted Living.

The provider's business location address is:

2528 TRINITY RD
DULUTH, MN
ZIP 55811-315
Phone: (218) 727-2800

The provider's authorized official is Lynn Gevik .
The authorized official title is Coo and has the following contact phone number (218) 625-2316.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 7/25/2008.

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 Facility336667MINNESOTANo
2310400000XAssisted Living Facility334218MINNESOTAYes

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
141-1936451OTHERMINNESOTAFIRST PLAN OF MINNESOTA
2660078000OTHERMINNESOTASTATE OF MN PROVIDER #
3411936451OTHERMINNESOTAMEDICA

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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