Ms-Ac Mankato We Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MS-AC MANKATO WE SENIOR LIVING LLC

Doing business as

Water's Edge

Practice address

800 Agency TRL
Mankato, MN 56001-6966

Phone

(507) 388-5582

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MERISTAR ACAS HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Robert Sweet

Title

Authorized Representative

Phone

(240) 595-6064

Specialties & licenses 1

Addresses

Other names 1

• Water's Edge Doing business as

Locations

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1386189991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SPRING ST STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103654",
            "telephone_number": "240-595-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AGENCY TRL",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016966",
            "telephone_number": "507-388-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS-AC MANKATO WE SENIOR LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERISTAR ACAS HOLDINGS LLC",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "240-595-6064"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water's Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zennor Morris Sr.
• Ellen Marie Morrow, LICSW
• Susan Eliabeth Morsching, LICSW
• Elizabeth Morton, PA
• Ms-Ac Mankato Ag Senior Living LLC (Autumn Grace)
• Michael Much, DPT
• Michael Mwangi Muchiri, NP-C
• Elise Lauren Muehlenhardt, RBT
• Megan Elizabeth Mueller, M.S, CF-SLP
• Tatyana Georgivna Mueller, M.S, CCC-SLP

• Assisted Living Facility in Mankato, MN
• Providers in Mankato, 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 Jan 5, 2017; 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.