Organization Active NPI

Champions Village II, LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1013860303
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Feb 17, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2344740Champions Village II LLC8001 82ND Ave North, Brooklyn Park, MN 55445Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.