Silvercare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

381904 Issued in MN

Legal business name

SILVERCARE LLC

Practice address

16880 Klamath TRL
Lakeville, MN 55044-7939

Phone

(952) 435-8002

Fax

(952) 435-4070

NPI assigned

Aug 7, 2017

Organization subpart

No

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

Authorized official

Name

Brenda Briggs

Title

Director of Finance

Phone

(952) 922-9547

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1245755651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 PARKDALE DR STE 301",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161604",
            "telephone_number": "952-922-9540",
            "fax_number": "952-922-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16880 KLAMATH TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447939",
            "telephone_number": "952-435-8002",
            "fax_number": "952-435-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Main St N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697210",
            "country_code": "US",
            "telephone_number": "763-955-1750",
            "fax_number": "763-955-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "952-922-9547"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "381904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY CUSTOMER ID",
            "identifier": "681673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Shepherd, LICSW, MSW
• Cailin Marie Shurson, D.C.
• Aneesa Siddiqui, PA-C
• Janelle Sikich
• Silver Peak Medical Staffing LLC
• Silvercrest Properties, LLC
• Silverglen Family Care LLC
• Madeline Raye Simonson, LADC
• Jay D. Simonton, DDS
• Andrea D Singh

• Assisted Living Facility in Lakeville, MN
• Providers in Lakeville, 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 Mar 17, 2018; 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.