Lake Area Memory Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKE AREA MEMORY CARE LLC

Doing business as

Northwoods Memory Care Suites

Practice address

4313 Ball Rd NE
Circle Pines, MN 55014-2209

Phone

(763) 344-7177

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By 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

Grace Fabro

Title

Assistant Director

Phone

(763) 344-7198

Specialties & licenses 1

Addresses

Other names 1

• Northwoods Memory Care Suites Doing business as

Locations

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1346153236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 BALL RD NE",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550142209",
            "telephone_number": "763-344-7177",
            "fax_number": "763-355-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 BALL RD NE",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550142209",
            "telephone_number": "763-344-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "FABRO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "763-344-7198"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Memory Care Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Ann Kaetterhenry, OTR
• Elizabeth Kelly
• Lauren Kelzenberg
• Rachel Marie Koffski
• Rebecca Kramer
• Lake Drive Chiopractic Clinic
• Megan Ann Larson, MA, CCC-SLP
• Rachel Joy Larson, LMFT
• Lexington Square Chiropractic
• Lexington Square Chiropractic Center PLLC

• Assisted Living Facility in Circle Pines, MN
• Providers in Circle Pines, 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 Sep 23, 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.