Active NPI
Shelterarm LLC
- Assisted Living Facility
- Brooklyn Park, MN
National Provider Identifier
1265188296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SHELTERARM LLC
- Practice address
- 9444 Fallgold Pkwy N
Brooklyn Park, MN 55443-1531 - Phone
- (952) 686-1357
- NPI assigned
- Feb 28, 2022
- 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
- Angie Summerville, NURSE
- Title
- Don/Registered Nurse
- Phone
- (952) 686-1357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
9444 Fallgold Pkwy N
Brooklyn Park, MN 55443-1531
Mailing address
9444 Fallgold Pkwy N
Brooklyn Park, MN 55443-1531
Phone (952) 686-1357
Other names 1
- Shelterarm llc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1265188296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9444 FALLGOLD PKWY N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431531",
"telephone_number": "952-686-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9444 FALLGOLD PKWY N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431531",
"telephone_number": "952-686-1357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELTERARM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "SUMMERVILLE",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "DON/REGISTERED NURSE",
"authorized_official_telephone_number": "952-686-1357",
"authorized_official_credential": "NURSE"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelterarm llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.