Organization Active NPI

Shelterarm LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1265188296
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Feb 28, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.