Arden Glades Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARDEN GLADES ASSISTED LIVING LLC

Practice address

1474 Floral Dr W
Arden Hills, MN 55112-1903

Phone

(651) 500-5339

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Efren Valdez Malong, LALD

Title

Assisted Living Director

Phone

(651) 500-5339

Specialties & licenses 1

Addresses

Other names 1

• Arden Glades Assisted Living 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

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1245982297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9268 COMPASS POINTE CIR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551292007",
            "telephone_number": "651-636-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 FLORAL DR W",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551121903",
            "telephone_number": "651-500-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN GLADES ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "MALONG",
        "authorized_official_first_name": "EFREN",
        "authorized_official_middle_name": "VALDEZ",
        "authorized_official_title_or_position": "ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "651-500-5339",
        "authorized_official_credential": "LALD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arden Glades Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Fredrick Anderson, M.D.
• Wallace Jay Anderson, DDS
• Nathan Matthew Andrajack
• Alexis Anttila, MA, LMFT
• Nadira Arale
• Arden Hills Ops, LLC
• Arden Pharmacy & Gift
• Nicole M Arndt-Wenger, LICSW
• Lareesha Arnold
• Muno Ashiro

• Assisted Living Facility in Arden Hills, MN
• Providers in Arden Hills, 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 Jan 20, 2022; 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.