Center Park Senior Apartments, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

357410 Issued in MN

Legal business name

CENTER PARK SENIOR APARTMENTS, INC.

Practice address

5401 69TH Ave N
Brooklyn Center, MN 55429-1505

Phone

(763) 549-9600

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mark Meyer

Title

Cfo

Phone

(651) 631-6120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARANATHA PLACE Other name

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1326464538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 69TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291505",
            "telephone_number": "763-549-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 69TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291505",
            "telephone_number": "763-549-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER PARK SENIOR APARTMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-631-6120"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "357410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A438663000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARANATHA PLACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, 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 Mar 12, 2014; 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.