Pillars of Lakeville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PILLARS OF LAKEVILLE LLC

Doing business as

Pillars of Lakeville

Practice address

17701 Glacier Way
Lakeville, MN 55044-6496

Phone

(952) 208-9988

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Chloe Shimota, LALD

Title

Executive Director

Phone

(952) 208-9988

Specialties & licenses 1

Addresses

Other names 1

• Pillars of Lakeville Doing business as

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1265148886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17701 GLACIER WAY",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446496",
            "telephone_number": "952-208-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17701 GLACIER WAY",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446496",
            "telephone_number": "952-208-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLARS OF LAKEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SHIMOTA",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "952-208-9988",
        "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": "Pillars of Lakeville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latasha Peterson, M.A., LPCC
• Chelsea L Petrich, PHARM.D.
• Claire Petrie
• Pamela Moses Philip
• Gretchen Irene Philpot, CCC-SLP
• Joshua Piller
• Pink Skies Corporation (FYZICAL Therapy & Balance)
• Douglas Paul Piper, HID
• Jacob T Pitchford
• Platt Dentistry

• 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 Jan 26, 2023; 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.