Sojourn Suites LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

365549 Issued in MN

Legal business name

SOJOURN SUITES LLC

Practice address

4270 Circle Rd
Excelsior, MN 55331-9507

Phone

(612) 590-9250

Fax

(952) 400-3542

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hance Penn

Title

Owner/Partner

Phone

(952) 590-9250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1053716738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 CIRCLE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319507",
            "telephone_number": "612-590-9250",
            "fax_number": "952-400-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 CIRCLE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319507",
            "telephone_number": "612-590-9250",
            "fax_number": "952-400-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HANCE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "952-590-9250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "365549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Excelsior, MN
• Providers in Excelsior, 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 Oct 24, 2014; 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.