VSSA BOUTWELLS LANDINGLLC NPI 1518383744

NPI Information

  • NPI: 1518383744
  • Provider Name: VSSA BOUTWELLS LANDING,LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: BOUTWELLS LANDING
  • Address: 5600 NORWICH PKWY
    OAK PARK HEIGHTS, MN
    ZIP 55082
  • Phone: (651) 275-5000

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NPI Details

VSSA BOUTWELLS LANDING,LLC is an assisted living facility in Oak Park Heights, 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. VSSA BOUTWELLS LANDING,LLC NPI is 1518383744. The provider is registered as an organization entity type.
The provider Other Name Is Boutwells Landing.

The provider's business location address is:

5600 NORWICH PKWY
OAK PARK HEIGHTS, MN
ZIP 55082-482
Phone: (651) 275-5000

The provider's authorized official is Mark Meyer .
The authorized official title is Cfo and has the following contact phone number (651) 631-6120.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/12/2014.

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 Facility359577MINNESOTAYes

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
1A926608200OTHERMINNESOTAUMPI

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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