KAYLI RESIDENCE LLC NPI 1811688971

NPI Information

  • NPI: 1811688971
  • Provider Name: KAYLI RESIDENCE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2289106
  • Address: 8256 SCOTT AVE N
    BROOKLYN PARK, MN
    ZIP 55443
  • Phone: (678) 300-1300

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NPI Details

KAYLI RESIDENCE LLC is an assisted living facility in Brooklyn Park, 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. KAYLI RESIDENCE LLC NPI is 1811688971. The provider is registered as an organization entity type.

The provider's business location address is:

8256 SCOTT AVE N
BROOKLYN PARK, MN
ZIP 55443-225
Phone: (678) 300-1300

The provider's authorized official is Victoria Munyeka .
The authorized official title is Administrator and has the following contact phone number (678) 300-1300.

The CLIA number assigned to this NPI record is 24D2289106 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2023 and was last updated on 6/26/2023.

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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