Inverwood Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INVERWOOD SENIOR LIVING LLC

Practice address

7260 So. Robert Trail
Inver Grove Heights, MN 55077

Phone

(651) 450-0707

Fax

(651) 455-0267

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Kelly J Myers

Title

Secretary

Phone

(651) 312-4481

Specialties & licenses 2

Addresses

Other names 1

• Inver Glen Senior Living LLC Doing business as

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1083847610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 OAKDALE AVE",
            "city": "W ST PAUL",
            "state": "MN",
            "postal_code": "551183553",
            "telephone_number": "651-450-0707",
            "fax_number": "651-455-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 SO. ROBERT TRAIL",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55077",
            "telephone_number": "651-450-0707",
            "fax_number": "651-455-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVERWOOD SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "651-312-4481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inver Glen Senior Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kimberly Jacks, AUD
• Bradley Jon Jacobson, HID
• Janelle Jacobson, COTA/L
• Jane E Vanroekel
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• Assisted Living Facility in Inver Grove Heights, MN
• Providers in Inver Grove 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 Aug 31, 2009; 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.