JASPER SUNRISE VILLAGE NPI 1942643135

NPI Information

  • NPI: 1942643135
  • Provider Name: JASPER SUNRISE VILLAGE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: JASPER EDA
  • Address: 100 ROBERT AVE N
    JASPER, MN
    ZIP 56144
  • Phone: (507) 348-8620

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NPI Details

JASPER SUNRISE VILLAGE is an assisted living facility in Jasper, 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. JASPER SUNRISE VILLAGE NPI is 1942643135. The provider is registered as an organization entity type.
The provider Other Name Is Jasper Eda.

The provider's business location address is:

100 ROBERT AVE N
JASPER, MN
ZIP 56144-219
Phone: (507) 348-8620
Fax: (507) 348-6100

The provider's authorized official is Laurel Ykema .
The authorized official title is Director and has the following contact phone number (507) 348-8620.

The enumeration date for this NPI number is 4/8/2013 and was last updated on 4/8/2013.

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 Facility20083MINNESOTAYes

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: 3/30/2025

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