FARIBAULT SENIOR LIVING LLC NPI 1770873937

NPI Information

  • NPI: 1770873937
  • Provider Name: FARIBAULT SENIOR LIVING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2023052
  • Address: 843 FARIBAULT ROAD
    FARIBAULT, MN
    ZIP 55021
  • Phone: (507) 334-5009

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NPI Details

FARIBAULT SENIOR LIVING LLC is an assisted living facility in Faribault, 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. FARIBAULT SENIOR LIVING LLC NPI is 1770873937. The provider is registered as an organization entity type.

The provider's business location address is:

843 FARIBAULT ROAD
FARIBAULT, MN
ZIP 55021
Phone: (507) 334-5009
Fax: (651) 454-4783

The provider's authorized official is Kelly Myers .
The authorized official title is Vp Of Operations and has the following contact phone number (651) 454-4801.

The CLIA number assigned to this NPI record is 24D2023052 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2011 and was last updated on 4/8/2011.

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 FacilityYes

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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