SUITE LIVING SENIOR CARE OF SPRING LAKE PARK – NPI #1821754524
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

SUITE LIVING SENIOR CARE OF SPRING LAKE PARK is an assisted living facility located in SPRING LAKE PARK, MN. NPPES has assigned the NPI number 1821754524 to SUITE LIVING SENIOR CARE OF SPRING LAKE PARK on November 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 3 years ago on Mar 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUITE LIVING SENIOR CARE OF SPRING LAKE PARK below.

NPI Profile for
SUITE LIVING SENIOR CARE OF SPRING LAKE PARK

NPI Number
1821754524
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUITE LIVING SENIOR CARE OF SPRING LAKE PARK
Primary location
525 OSBORNE ROAD NE
SPRING LAKE PARK, MN 55432
Phone: (651) 770-2273 Fax:
Mailing address
1824 BUERKLE RD
WHITE BEAR LAKE, MN 55110-5245
Phone: (651) 770-2273 Fax:
Organization Subpart
No
Authorized Official
AUDREY MCELWAIN
DIRECTOR
Phone: (651) 770-2273
Updated
Certification Date
Mar 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.