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:
Map and Directions
Authorized official contact:
Name: Didier, Kyle
Phone: (952) 358-5100

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
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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