Organization Active NPI

Mounds View Operations, LLC

Doing business as Bel Rae Senior Living

  • Assisted Living Facility
  • Saint Paul, MN
National Provider Identifier
1235802844
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MOUNDS VIEW OPERATIONS, LLC
Doing business as
Bel Rae Senior Living
Practice address
2330 Mounds View Blvd
Saint Paul, MN 55112-4927
Phone
(763) 784-7633
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Shoshana Friedler
Title
Billing Director
Phone
(612) 578-2432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2330 Mounds View Blvd
Saint Paul, MN 55112-4927

Mailing address

820 Lilac Dr N
Golden Valley, MN 55422-4700

Other names 1

  • Bel Rae Senior Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bel Rae Senior Living2 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.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1235802844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MOUNDS VIEW BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124927",
            "telephone_number": "763-784-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNDS VIEW OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "FRIEDLER",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "612-578-2432"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bel Rae Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bel Rae Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.