Provider Type Icon

ELIM SHORES INC. NPI 1598882334


NPI Information

NPI: 1598882334
Provider Name: ELIM SHORES, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D1068793

Address:
7900 TIMBER LAKE DR
EDEN PRAIRIE, MN
ZIP 55347
Phone: (952) 934-3005
Get Directions

ELIM SHORES, INC. is an assisted living facility in Eden Prairie, 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. ELIM SHORES, INC. NPI is 1598882334. The provider is registered as an organization entity type.

The provider's business location address is:

7900 TIMBER LAKE DR
EDEN PRAIRIE, MN
ZIP 55347-177
Phone: (952) 934-3005
Fax: (952) 934-0730

The provider's authorized official is Seelochani Stadtherr .
The authorized official title is Senior Director Of Reimbursement and has the following contact phone number (952) 855-5041.

The CLIA number assigned to this NPI record is 24D1068793 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 9/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility335373MINNESOTAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.