Eagan Pointe Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EAGAN POINTE SENIOR LIVING

Practice address

4232 Black Hawk Road
Eagan, MN 55122

Phone

(651) 492-6535

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Kelly J Myers

Title

Vice President of Operations

Phone

(651) 492-6535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1285010074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SIBLEY MEMORIAL HIGHWAY",
            "city": "LILYDALE",
            "state": "MN",
            "postal_code": "55118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 BLACK HAWK ROAD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "651-492-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN POINTE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "651-492-6535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagan Family Chiropractic & Massage
• Eagan Family Dentistry
• Eagan Hope Wellness Services LLC
• Eagan Ops LLC
• Eagan Orthopedic Surgery Center LLC
• Eagan Psychotherapy LLC
• Eagan Senior Living
• Eagan Smiles Dentistry, PC
• Eagan Valley Dental Center P.a.
• Eagancare Behavioral Health Services LLP.

• Assisted Living Facility in Eagan, MN
• Providers in Eagan, 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 Aug 4, 2015; 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.