2195 CENTURY AVENUE SOUTH OPCO LLC – NPI #1821570219
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2195 CENTURY AVENUE SOUTH OPCO LLC is a skilled nursing facility (SNF) located in WOODBURY, MN. NPPES has assigned the NPI number 1821570219 to 2195 CENTURY AVENUE SOUTH OPCO LLC on August 31, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was last updated on Jun 19, 2025. 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 2195 CENTURY AVENUE SOUTH OPCO LLC below.

NPI Profile for
2195 CENTURY AVENUE SOUTH OPCO LLC

NPI Number
1821570219
Enumeration Date

(about 8 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
2195 CENTURY AVENUE SOUTH OPCO LLC
Primary location
2195 CENTURY AVE S
WOODBURY, MN 55125-2943
Phone: (651) 459-1400 Fax:
Mailing address
5900 CLEARWATER DR STE 500
MINNETONKA, MN 55343-8961
Phone: (952) 241-8211 Fax: (612) 360-2331
Organization Subpart
Yes - 2195 CENTURY AVENUE SOUTH OPCO LLC is subpart of another organization.
Authorized Official
KATE RYG
CLINICAL REIMBURSEMENT MANAGER
Phone: (763) 486-9187
Updated
Certification Date
Jun 19, 2025

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
314000000X
- Skilled Nursing 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.