BLAINE WP II LLC NPI 1871989806

NPI Information

  • NPI: 1871989806
  • Provider Name: BLAINE WP II, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2097108
  • Address: 12402 JAMESTOWN STREET NE
    BLAINE, MN
    ZIP 55449
  • Phone: (651) 287-0265

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NPI Details

BLAINE WP II, LLC is an assisted living facility in Blaine, 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. BLAINE WP II, LLC NPI is 1871989806. The provider is registered as an organization entity type.

The provider's business location address is:

12402 JAMESTOWN STREET NE
BLAINE, MN
ZIP 55449
Phone: (651) 287-0265
Fax: (651) 287-0266

The provider's authorized official is Sarah Pauley .
The authorized official title is Business Manager and has the following contact phone number (651) 287-0265.

The CLIA number assigned to this NPI record is 24D2097108 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 4/7/2015.

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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