Phs Lake Minnetonka Llc

LBN: Phs Lake Minnetonka Llc
Phs Lake Minnetonka Llc is an health care organization with primary practice located at 4515 Shoreline Dr , Spring Park MN 55384-8500. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Phs Lake Minnetonka Llc can be contacted via phone (952) 471-4001, or through Meyer, Mark via phone (651) 631-6450.

Contact Information

Primary practice address
4515 Shoreline Dr Spring Park MN 55384-8500
Phone: (952) 471-4001
Fax: (651) 631-6449
Website:
Map and Directions
Authorized official contact:
Name: Meyer, Mark
Phone: (651) 631-6450

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1184737926
LBN Legal business name Phs Lake Minnetonka Llc
DBA Doing business as
Authorized official Meyer, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 14th, 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 1184737926 NPPES
Other 7122641 MEDICA
Other 22857 MEDICA
MEDICAID 172043100 MEDICA
Other NH0041 MEDICA
Other 9625TW MEDICA

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