Minnesota Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

378575 Issued in MN

Legal business name

MINNESOTA SENIOR LIVING, LLC

Practice address

11111 River Hills Dr
Burnsville, MN 55337-3259

Phone

(952) 890-8553

Fax

(950) 890-9320

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Kristine Ensign

Title

Executive Director

Phone

(952) 890-8553

Specialties & licenses 2

Addresses

Other names 1

• The Rivers Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Minnesota Senior Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Rivers Operations LLC

  • Assisted Living Facility
  • Burnsville, MN
  • NPI 1073858551
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Minnesota Senior Living LLC

  • Assisted Living Facility
  • Wayzata, MN
  • NPI 1720593353
  NPPES parent name

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1104359827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 RIVER HILLS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373259",
            "telephone_number": "952-890-8553",
            "fax_number": "952-890-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RIVER HILLS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373259",
            "telephone_number": "952-890-8553",
            "fax_number": "950-890-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "ENSIGN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "952-890-8553"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "378575",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "380943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Burnsville, MN
• Providers in Burnsville, 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 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.