Keystone Prior Lake

LBN: Prior Lake Ops Llc
Keystone Prior Lake is an health care organization with primary practice located at 4685 Park Nicollet Ave Se , Prior Lake MN 55372-3926. 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. Prior Lake Ops Llc can be contacted via phone (952) 226-9200, or through Novaczyk, Ryan via phone (952) 241-8204.

Contact Information

Primary practice address
4685 Park Nicollet Ave Se Prior Lake MN 55372-3926
Phone: (952) 226-9200
Fax: (952) 226-9201
Website:
Map and Directions
Authorized official contact:
Name: Novaczyk, Ryan
Phone: (952) 241-8204

Health care specialties

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

Profile Details

NPI number 1003292962
LBN Legal business name Prior Lake Ops Llc
DBA Doing business as Keystone Prior Lake
Authorized official Novaczyk, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2015
Last updated Aug 3rd, 2015 - about 9 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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