Active NPI
Champions Village II, LLC
- Assisted Living Facility
- Brooklyn Park, MN
National Provider Identifier
1013860303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CHAMPIONS VILLAGE II, LLC
- Practice address
- 8001 82ND Ave N
Brooklyn Park, MN 55445-2434 - Phone
- (612) 817-5100
- Fax
- (612) 500-4677
- NPI assigned
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lali Galan
- Title
- President/Ceo
- Phone
- (612) 817-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
8001 82ND Ave N
Brooklyn Park, MN 55445-2434
Mailing address
15570 59TH Ave N
Plymouth, MN 55446-3695
Phone (612) 817-5100
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2344740 | Champions Village II LLC | Certificate of waiver | May 27, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1013860303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15570 59TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463695",
"telephone_number": "612-817-5100",
"fax_number": "612-500-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 82ND AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452434",
"telephone_number": "612-817-5100",
"fax_number": "612-500-4677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMPIONS VILLAGE II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "GALAN",
"authorized_official_first_name": "LALI",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "612-817-5100"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
- Pauline Cellette Casey, OTR/L
- CBD Homecare Inc
- Centerwell Certified Healthcare Corp.
- Certified Care Inc
- Certified Interpreters and Translators Inc.
- Lyn P. Chapman, M.D.
- Joni C. Charbonneau
- Steven J. Chargo, MA, CCC, AUDIOLOGIST
- Charity Care Inc Professional Service Corporation
- Charity Care Inc Professional Service Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.