EAGLECREST SENIOR HOUSING LLC NPI 1659795300

NPI Information

  • NPI: 1659795300
  • Provider Name: EAGLECREST SENIOR HOUSING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • :
  • CLIA Number: 24D2032761
  • Address: 2945 LINCOLN DR
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 628-3000

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NPI Details

EAGLECREST SENIOR HOUSING, LLC is an assisted living facility in Roseville, 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. EAGLECREST SENIOR HOUSING, LLC NPI is 1659795300. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2945 LINCOLN DR
ROSEVILLE, MN
ZIP 55113-338
Phone: (651) 628-3000

The provider's authorized official is Jon Tranby .
The authorized official title is Ar Director and has the following contact phone number (651) 631-6102.

The CLIA number assigned to this NPI record is 24D2032761 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 11/11/2025.

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 Facility357428MINNESOTAYes

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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