Active NPI
Suite Living Senior Care of Maple Grove
- Assisted Living Facility
- Maple Grove, MN
National Provider Identifier
1376239285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUITE LIVING SENIOR CARE OF MAPLE GROVE
- Practice address
- 7010 Alvarado Lane N
Maple Grove, MN 55311 - Phone
- (651) 770-2273
- Fax
- (651) 666-1975
- NPI assigned
- Apr 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audrey McElwain
- Title
- Director of Operations
- Phone
- (651) 770-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7010 Alvarado Lane N
Maple Grove, MN 55311
Mailing address
1824 Buerkle Rd
White Bear Lake, MN 55110-5245
Phone (651) 770-2273
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2296095 | Suite Living Senior Care of Maple Grove | Certificate of waiver | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1376239285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 BUERKLE RD",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551105245",
"telephone_number": "651-770-2273",
"fax_number": "651-666-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 ALVARADO LANE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55311",
"telephone_number": "651-770-2273",
"fax_number": "651-666-1975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUITE LIVING SENIOR CARE OF MAPLE GROVE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-07",
"status": "A",
"authorized_official_last_name": "MCELWAIN",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "651-770-2273"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.