SOUTHVIEW SENIOR LIVING NPI 1710050836

NPI Information

  • NPI: 1710050836
  • Provider Name: SOUTHVIEW SENIOR LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D1057894
  • Address: 1984 OAKDALE AVE
    SAINT PAUL, MN
    ZIP 55118
  • Phone: (651) 554-4838

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NPI Details

SOUTHVIEW SENIOR LIVING is an assisted living facility in Saint Paul, 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. SOUTHVIEW SENIOR LIVING NPI is 1710050836. The provider is registered as an organization entity type.

The provider's business location address is:

1984 OAKDALE AVE
SAINT PAUL, MN
ZIP 55118-553
Phone: (651) 554-4838
Fax: (651) 455-0267

The provider's authorized official is Kelly J Myers .
The authorized official title is Residence Director and has the following contact phone number (651) 554-4838.

The CLIA number assigned to this NPI record is 24D1057894 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.

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 Facility333707MINNESOTAYes

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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