COMMUNITY ASSET FOUNDATION LLC NPI 1750622908

NPI Information

  • NPI: 1750622908
  • Provider Name: COMMUNITY ASSET FOUNDATION, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE LODGE OF MOUNTAIN LAKE
  • CLIA Number: 24D1016198
  • Address: 603 7TH AVE
    MOUNTAIN LAKE, MN
    ZIP 56159
  • Phone: (507) 427-2465

Map and Directions

Get Directions

NPI Details

COMMUNITY ASSET FOUNDATION, LLC is an assisted living facility in Mountain Lake, 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. COMMUNITY ASSET FOUNDATION, LLC NPI is 1750622908. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lodge Of Mountain Lake.

The provider's business location address is:

603 7TH AVE
MOUNTAIN LAKE, MN
ZIP 56159-333
Phone: (507) 427-2465

The provider's authorized official is David C Pokorney .
The authorized official title is Treasurer and has the following contact phone number (612) 703-5709.

The CLIA number assigned to this NPI record is 24D1016198 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 4/13/2022.

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 Facility29275MINNESOTAYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI