Park Lane Estates Assisted Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

5399731 Issued in MN

Legal business name

PARK LANE ESTATES ASSISTED LIVING

Practice address

111 Fillmore PL SE
Preston, MN 55965-1140

Phone

(507) 765-9986

Fax

(507) 765-9987

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chuck Lane

Title

Owner

Phone

(218) 692-6640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1326226853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FILLMORE PL SE",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651140",
            "telephone_number": "507-765-9986",
            "fax_number": "507-765-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FILLMORE PL SE",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651140",
            "telephone_number": "507-765-9986",
            "fax_number": "507-765-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LANE ESTATES ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-692-6640"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "5399731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jakim
• Tami Karban
• Dale E Loeffler
• McBe Company (Weber & Judd - Preston)
• Moving on Recovery and Education
• Park Lane Estates of Preston, LLC (Park Lane Estates)
• Susan Renee Pikula, MS, LPCC
• Preston Eye Clinic LLC (Spring Valley Eye Clinic)
• Sarah Sandvik
• Serenity Family Chiropractic

• Home Health Agency in Preston, MN
• Providers in Preston, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.