Organization Active NPI

Eagan Senior Living

Doing business as Lexington Pointe Senior Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Eagan, MN
National Provider Identifier
1326637190
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
EAGAN SENIOR LIVING
Doing business as
Lexington Pointe Senior Living
Practice address
3385 Discovery Rd
Eagan, MN 55121-2167
Phone
(651) 492-6535
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Kelly Myers
Title
Vice President of Operations
Phone
(651) 492-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

3385 Discovery Rd
Eagan, MN 55121-2167

Mailing address

945 Sibley Memorial Hwy
Saint Paul, MN 55118-2737
Phone (651) 492-6535

Other names 1

  • Lexington Pointe Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2191153Lexington Pointe Senior Living3385 Discovery Rd, Eagan, MN 55121Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1326637190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SIBLEY MEMORIAL HWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551182737",
            "telephone_number": "651-492-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DISCOVERY RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212167",
            "telephone_number": "651-492-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "651-492-6535"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Pointe Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.