Organization Active NPI

Lakes Area Assisted Living LLC

  • Assisted Living Facility
  • Alexandria, MN
National Provider Identifier
1164660817
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
342894 Issued in MN
Legal business name
LAKES AREA ASSISTED LIVING LLC
Practice address
1313 County Road 22 NW
Alexandria, MN 56308-4957
Phone
(320) 759-5600
Fax
(320) 763-5007
NPI assigned
Feb 2, 2009
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Diane Marie Ziebell
Title
Owner/Operator
Phone
(320) 759-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 342894 MN Primary

Addresses

Primary practice location

1313 County Road 22 NW
Alexandria, MN 56308-4957

Mailing address

1313 County Road 22 NW
Alexandria, MN 56308-4957
Phone (320) 759-5600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1164660817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 COUNTY ROAD 22 NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084957",
            "telephone_number": "320-759-5600",
            "fax_number": "320-763-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 COUNTY ROAD 22 NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084957",
            "telephone_number": "320-759-5600",
            "fax_number": "320-763-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "ZIEBELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "320-759-5600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "342894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.