COMMUNITY ASSISTED LIVING INC NPI 1790886331

NPI Information

  • NPI: 1790886331
  • Provider Name: COMMUNITY ASSISTED LIVING, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 16670 FRANKLIN TRL SE
    SUITE 120A
    PRIOR LAKE, MN
    ZIP 55372
  • Phone: (952) 440-3955

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NPI Details

COMMUNITY ASSISTED LIVING, INC is an assisted living facility in Prior 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 ASSISTED LIVING, INC NPI is 1790886331. The provider is registered as an organization entity type.

The provider's business location address is:

16670 FRANKLIN TRL SE
SUITE 120A
PRIOR LAKE, MN
ZIP 55372-924
Phone: (952) 440-3955
Fax: (952) 440-3956

The provider's authorized official is Donna Novak .
The authorized official title is Ceo and has the following contact phone number (952) 440-3955.

The enumeration date for this NPI number is 9/26/2006 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 FacilityMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14989251OTHERMEDICA

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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