Auburn Meadows, LLC
Organization Active NPI Assisted Living Facility · Waconia, MN
NPI 1083964837 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1083964837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 358616 (MN)
- Legal business name
- AUBURN MEADOWS, LLC
- Practice address
- 591 S. Cherry Dr
Waconia, MN 55387 - Phone
- (952) 442-6600
- Fax
- (952) 442-6605
- NPI assigned
- Sep 19, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- MORAVIAN CARE HOUSING CORP DBA AUBURN HOME IN WACONIA
Authorized official
- Name
- Wayne Ward
- Title
- Administrator
- Phone
- (952) 361-0340
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2044910 | Auburn Meadows LLC | Certificate of waiver | Aug 25, 2027 |
National Provider Directory
- Part of
- Moravian Care Housing Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 358616 | MN | Yes |
Addresses
Primary practice location
591 S. Cherry Dr
Waconia, MN 55387
Mailing address
594 S Cherry Dr
Waconia, MN 55387-4578
Phone (952) 442-2546
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358616 | Other | MN | LICENSE - HOUSING WITH SERVCIES |
Other providers in Waconia, MN
- David J C Arens
- Cortland J Arlien
- Tiffany Jean Armstrong
- Nichole Arn
- Rebecca Arnold
- Lauren Aus
- Lara Aycock
- Jessica R Baitani
- Ella Bakken
- Ryan J. Bakko
All providers in Waconia, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.