MINNETONKA CARE RESIDENCE NPI 1700156163

NPI Information

  • NPI: 1700156163
  • Provider Name: MINNETONKA CARE RESIDENCE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PARKINSONS SPECIALTY CARE
  • CLIA Number: 24D2252844
  • Address: 4328 WILLISTON RD
    MINNETONKA, MN
    ZIP 55345
  • Phone: (763) 550-1774

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NPI Details

MINNETONKA CARE RESIDENCE is an assisted living facility in Minnetonka, 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. MINNETONKA CARE RESIDENCE NPI is 1700156163. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkinsons Specialty Care.

The provider's business location address is:

4328 WILLISTON RD
MINNETONKA, MN
ZIP 55345-947
Phone: (763) 550-1774

The provider's authorized official is Marcia Hamilton Cotter .
The authorized official title is Ceo and has the following contact phone number (763) 550-1774.

The CLIA number assigned to this NPI record is 24D2252844 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2012 and was last updated on 1/3/2012.

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 Facility546736MINNESOTAYes

What is NPI?

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This page was last updated on: 11/21/2025

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