T.M. Excelsior, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

T.M. EXCELSIOR, LLC

Doing business as

Northern Lakes Senior Living

Practice address

8186 Excelsior Rd
Baxter, MN 56425-8858

Phone

(218) 454-2121

NPI assigned

May 21, 2024

Last updated

May 21, 2024By 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

Stacy Femling

Title

Regional Al Director

Phone

(507) 269-0519

Specialties & licenses 1

Addresses

Other names 1

• Northern Lakes Senior Living Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1427897305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8186 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8186 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258858",
            "telephone_number": "218-454-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.M. EXCELSIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "FEMLING",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "REGIONAL AL DIRECTOR",
        "authorized_official_telephone_number": "507-269-0519"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Lakes Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin S Swanson, DNP
• Katie Jean Sweney, OT
• Cloey Jean Swenson
• Karley Sykora
• Jacob Andrew Sylvester
• Jacqueline Taye
• Colin P Taylor, DDS
• Emilee Paige Taylor
• Myla Marie Taylor, LMT
• The Amazing Journey, Inc

• Assisted Living Facility in Baxter, MN
• Providers in Baxter, 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 May 21, 2024; 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.