NPIMap

Organization Active NPI

New Living LLC

  • Skilled Nursing Facility
  • Plymouth, MN
National Provider Identifier
1396990370
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
R 1801049788 Issued in MN
Legal business name
NEW LIVING LLC
Practice address
1020 W Medicine Lake Dr
Plymouth, MN 55441-4513
Phone
(763) 438-9127
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Lender K Foster
Title
President
Phone
(763) 438-9127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X R 1801049788 MN Primary

Addresses

Primary practice location

1020 W Medicine Lake Dr
Plymouth, MN 55441-4513

Mailing address

1020 W Medicine Lake Dr
Plymouth, MN 55441-4513
Phone (763) 438-9127

National Provider Directory

National Provider Directory
Tax ID family
New Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1396990370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W MEDICINE LAKE DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414513",
            "telephone_number": "763-438-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MEDICINE LAKE DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414513",
            "telephone_number": "763-438-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LENDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-438-9127"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "R 1801049788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.