Enriched Living Llc

LBN: Enriched Living Llc
Enriched Living Llc is an health care organization with primary practice located at 2520 Coon Rapids Blvd Nw Ste 100 , Coon Rapids MN 55433-3908. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Enriched Living Llc can be contacted via phone (612) 930-2265, or through Johnson, Tryan via phone (612) 930-2265.

Contact Information

Primary practice address
2520 Coon Rapids Blvd Nw Ste 100 Coon Rapids MN 55433-3908
Phone: (612) 930-2265
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tryan
Phone: (612) 930-2265

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1086810 Minnesota

Profile Details

NPI number 1780103929
LBN Legal business name Enriched Living Llc
DBA Doing business as
Authorized official Johnson, Tryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2017
Last updated Jul 21st, 2022 - about 2 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 1780103929 NPPES
Minnesota MEDICAID 1086810

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