Lake Minnetonka Shores

LBN: Phs/Lake Minnetonka, Llc
Lake Minnetonka Shores is an health care organization with primary practice located at 4527 Shoreline Dr , Spring Park MN 55384-8706. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Phs/Lake Minnetonka, Llc can be contacted via phone (952) 471-4000, or through Meyer, Mark via phone (651) 631-6120.

Contact Information

Primary practice address
4527 Shoreline Dr Spring Park MN 55384-8706
Phone: (952) 471-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Meyer, Mark
Phone: (651) 631-6120

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 357277 Minnesota

Profile Details

NPI number 1679997480
LBN Legal business name Phs/Lake Minnetonka, Llc
DBA Doing business as Lake Minnetonka Shores
Authorized official Meyer, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2014
Last updated Feb 13th, 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 1679997480 NPPES
Minnesota Other A572652300 UMPI

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