Quality Life Styles Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

QUALITY LIFE STYLES INC

Doing business as

Shakopee Friendship Manor

Practice address

1340 3Rd Ave W
Shakopee, MN 55379-1011

Phone

(952) 445-4155

NPI assigned

May 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Salmela

Title

Administrator

Phone

(952) 445-4155

Specialties & licenses 1

Addresses

Other names 1

• Shakopee Friendship Manor Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott J Fairbairn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1174553747
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063462059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WEST 3RD AVENUE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 3RD AVE W",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791011",
            "telephone_number": "952-445-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE STYLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALMELA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-445-4155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shakopee Friendship Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pristine Care Inc
• Sarah Marie Prochaska, DPT
• Propercare LLC
• Lauren Michele Purdy, DC
• Jennifer Purifoy, DO, MPH
• Ashley Qualley, MS, LAT, ATC
• Terryl Raddatz, PHD, LP
• Lisa Marie Raines, MA
• Bebi Shazeeda Ramnarain
• Yashoda T.R. Rao, M.D.

• Skilled Nursing Facility in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.