LAKE VALLEY HOSPICE LLC NPI 1558071910

NPI Information

  • NPI: 1558071910
  • Provider Name: LAKE VALLEY HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 24D2276308
  • Address: 4517 MINNETONKA BLVD STE 105
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Phone: (516) 368-8000

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NPI Details

LAKE VALLEY HOSPICE LLC is a hospice care community based in Saint Louis Park, MN. LAKE VALLEY HOSPICE LLC NPI is 1558071910. The provider is registered as an organization entity type.

The provider's business location address is:

4517 MINNETONKA BLVD STE 105
SAINT LOUIS PARK, MN
ZIP 55416-400
Phone: (516) 368-8000

The provider's authorized official is Eran Ratner .
The authorized official title is Coo and has the following contact phone number (516) 668-2204.

The CLIA number assigned to this NPI record is 24D2276308 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2022 and was last updated on 5/9/2024.

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
1251G00000XHospice Care, Community BasedYes

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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