Nine Mile Catered Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

353396 Issued in MN

Legal business name

NINE MILE CATERED LIVING

Practice address

2301 Village LN
Bloomington, MN 55431-5810

Phone

(952) 888-0731

Fax

(952) 884-2191

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Karen Marie Larson

Title

Housing Manager

Phone

(952) 888-0731

Specialties & licenses 1

Addresses

Other names 1

• Nine Mile Creek Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1295008787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 VILLAGE LN",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315810",
            "telephone_number": "952-888-0731",
            "fax_number": "952-884-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 VILLAGE LN",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315810",
            "telephone_number": "952-888-0731",
            "fax_number": "952-884-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE MILE CATERED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HOUSING MANAGER",
        "authorized_official_telephone_number": "952-888-0731",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "353396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nine Mile Creek Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda L Nielsen, LICSW
• Mark R. Nielsen, MD
• Vanda R Niemi, M.D.
• Laura Michelle Nilan, DO
• Jennifer Rene Nimerick, MD
• Lindsey June Niznik, DPT
• Matthew Nolan, M.D.
• John Alexander Noll, D.O
• Hafso Nooh
• Jenna Noonan, PA

• Assisted Living Facility in Bloomington, MN
• Providers in Bloomington, 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 Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.