SHP V WSLG Oakdale, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHP V WSLG OAKDALE, LLC

Doing business as

The Waters of Oakdale

Practice address

7088 11TH St N
Oakdale, MN 55128-6501

Phone

(651) 393-5260

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Steven Blazejewski

Title

President

Phone

(404) 704-3789

Specialties & licenses 1

Addresses

Other names 1

• The Waters of Oakdale Doing business as

Locations

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1538738752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 PEACHTREE RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7088 11TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286501",
            "telephone_number": "651-393-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP V WSLG OAKDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "BLAZEJEWSKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-704-3789"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Oakdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chenayi N Shava
• Khadija Sheikh
• Najmo Hassan Sheikh
• Masud Issa Sheikhali
• Margaret L Shilkey, LMFT
• Kendra J Shulman, MSW, LICSW
• Silverado Il Acquisitionco LLC
• Angela M Simning, LMFT
• Anne Sitorius Maas, LPCC
• Skill Spark Therapy Center, PC

• Assisted Living Facility in Oakdale, MN
• Providers in Oakdale, 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 Jun 22, 2021; 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.