Organization Active NPI

Whitefish at the Lakes Opco LLC

  • Assisted Living Facility
  • Crosslake, MN
National Provider Identifier
1285589689
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHITEFISH AT THE LAKES OPCO LLC
Practice address
35625 Ostlund Ave
Crosslake, MN 56442-3900
Phone
(218) 210-0770
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Jordan Ryan
Title
VP Business Strategy
Phone
(507) 251-6356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

35625 Ostlund Ave
Crosslake, MN 56442-3900

Mailing address

3520 E River Rd NE
Rochester, MN 55906-5407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1285589689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35625 OSTLUND AVE",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "564423900",
            "telephone_number": "218-210-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFISH AT THE LAKES OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "VP BUSINESS STRATEGY",
        "authorized_official_telephone_number": "507-251-6356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosslake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.