WOODBURY ASSISTED LIVING FACILITY, LLC – NPI #1861352031
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Health Care Provider Taxonomy Code for Assisted Living Facility

WOODBURY ASSISTED LIVING FACILITY, LLC is an assisted living facility located in WOODBURY, MN. NPPES has assigned the NPI number 1861352031 to WOODBURY ASSISTED LIVING FACILITY, LLC on November 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3104A0625X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility, specializing in Assisted Living, Mental Illness

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 WOODBURY ASSISTED LIVING FACILITY, LLC below.

NPI Profile for
WOODBURY ASSISTED LIVING FACILITY, LLC

NPI Number
1861352031
Enumeration Date

(about 7 months 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
WOODBURY ASSISTED LIVING FACILITY, LLC
Primary location
1344 SCHOONER WAY
WOODBURY, MN 55125
Phone: (612) 501-4308 Fax: (612) 206-8080
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRISHA LEGWOLD
VICE PRESIDENT OF OPERATIONS
Phone: (612) 501-4308
Updated
Identifiers

Identifiers for WOODBURY ASSISTED LIVING FACILITY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherASSISTEDLIVINGLICENSEMN419135
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
3104A0625X
- Assisted Living Facility / Assisted Living, Mental Illness (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.