Shoreview Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHOREVIEW SENIOR LIVING LLC

Practice address

4710 Cumberland St
Shoreview, MN 55126-6063

Phone

(651) 454-4801

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Lance E Lemieux

Title

President

Phone

(651) 454-4801

Specialties & licenses 1

Addresses

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": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1497095491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CUMBERLAND ST",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551266063",
            "telephone_number": "651-454-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 CUMBERLAND ST",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551266063",
            "telephone_number": "651-454-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREVIEW SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "LEMIEUX",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-454-4801"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Conlin Ma, LP LMFT
• Kari Sherburne, CCC-SLP
• Donald Shope Jr., LADC, CAP
• Shoreview Dental Associates
• Shoreview Mental Health Center, LLC
• Shoreview Spine and Sport Family Chiropractic, LLC
• Vanessa Ann Shuck, MSW, LGSW
• Nathanael Paul Shull
• Angela Siegle, LPC
• Michael Simons, HID

• Assisted Living Facility in Shoreview, MN
• Providers in Shoreview, 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 Feb 27, 2013; 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.