Active NPI
Onamia Area Assisted Living
Doing business as Lake Song Assisted Living
- Assisted Living Facility
- Onamia, MN
National Provider Identifier
1205959830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ONAMIA AREA ASSISTED LIVING
- Doing business as
- Lake Song Assisted Living
- Practice address
- 206 N Elm St
Onamia, MN 56359-4530 - Phone
- (320) 532-2000
- Fax
- (320) 532-3833
- NPI assigned
- Apr 9, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelly Hanneken, R.N.
- Title
- Health Coordinator
- Phone
- (320) 532-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | MN | Primary |
Addresses
Primary practice location
206 N Elm St
Onamia, MN 56359-4530
Mailing address
206 N Elm St
PO Box 129
Onamia, MN 56359-0129
Phone (320) 532-2000
Other names 1
- Lake Song Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2268921 | Lake Song Assisted Living | Certificate of waiver | Sep 19, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205959830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N ELM ST",
"address_2": "PO BOX 129",
"city": "ONAMIA",
"state": "MN",
"postal_code": "563590129",
"telephone_number": "320-532-2000",
"fax_number": "320-532-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N ELM ST",
"city": "ONAMIA",
"state": "MN",
"postal_code": "563594530",
"telephone_number": "320-532-2000",
"fax_number": "320-532-3833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONAMIA AREA ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANNEKEN",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "HEALTH COORDINATOR",
"authorized_official_telephone_number": "320-532-2000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Song Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Onamia, MN
Sources for this page
- 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.
- 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.