Suite Living Senior Care of Vadnais Heights

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUITE LIVING SENIOR CARE OF VADNAIS HEIGHTS

Practice address

580 Liberty Way
Vadnais Heights, MN 55127

Phone

(651) 770-2273

NPI assigned

Jun 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joel Larson

Title

Chief Manager

Phone

(651) 770-2273

Specialties & licenses 1

Addresses

Other names 1

• Suite Living of Vadnais Heights Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1023538469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LIBERTY WAY",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LIBERTY WAY",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "55127",
            "telephone_number": "651-770-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITE LIVING SENIOR CARE OF VADNAIS HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-770-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suite Living of Vadnais Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suite Living of Vadnais Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Dawn Stirling, LICSW
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• Deborah Ann Tatge, MS, CCC-SLP

• Assisted Living Facility in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.