The Colony At Eden Prairie Tcu
LBN: Colony At Eden Prairie, Llc
The Colony At Eden Prairie Tcu is an health care organization with primary practice located at 429 Prairie Center Dr , Eden Prairie MN 55344-5378. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Colony At Eden Prairie, Llc can be contacted via phone (952) 888-2923, or through Didier, Kyle via phone (952) 358-5100.
Contact Information
Primary practice address
429 Prairie Center Dr
Eden Prairie MN 55344-5378
Phone: (952) 888-2923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 328765 | Minnesota |
Profile Details
| NPI number | 1699732420 |
|---|---|
| LBN Legal business name | Colony At Eden Prairie, Llc |
| DBA Doing business as | The Colony At Eden Prairie Tcu |
| Authorized official | Didier, Kyle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Aug 8th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699732420 | NPPES |
| Minnesota | Other | 24-5611 | MEDICARE ID-TYPE UNSPECIFIED |
| Minnesota | Other | 245611 | MEDICARE ID-TYPE UNSPECIFIED |
| Minnesota | MEDICAID | 577468300 | MEDICARE ID-TYPE UNSPECIFIED |
| Minnesota | Other | 7100424 | MEDICARE ID-TYPE UNSPECIFIED |
| Minnesota | Other | OR97CO | MEDICARE ID-TYPE UNSPECIFIED |
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