Roers Senior Living Burnsville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROERS SENIOR LIVING BURNSVILLE LLC

Practice address

14401 Grand Avenue
Burnsville, MN 55306

Phone

(952) 206-5700

NPI assigned

Feb 19, 2020

Organization subpart

Yes

Parent organization

ROER SENIOR LIVING BURNSVILLE LLCAs reported in NPPES

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

Authorized official

Name

Lisa Padgett

Title

Director of Revenue Cycle

Phone

(612) 827-8357

Specialties & licenses 1

Addresses

Other names 1

• Havenwood of Burnsville Doing business as

Electronic endpoints 1

Part of

Roers Senior Living Burnsville LLC

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1568095438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 GRAND AVENUE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55306",
            "telephone_number": "952-206-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 GRAND AVENUE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55306",
            "telephone_number": "952-206-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROERS SENIOR LIVING BURNSVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROER SENIOR LIVING BURNSVILLE LLC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "612-827-8357"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Manual",
            "affiliation": "N",
            "endpointDescription": "Manual",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Manual",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Manual",
            "address_1": "14401 Grand Avenue",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Havenwood of Burnsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julian Rodriguez
• Abigail Roediger
• Randall Leroy Roehl, D.C.
• Oliver Scott Roeper
• Ashley Jo Roerig, PAC
• Melissa Lee Roeske, MOT, OTRL
• Nicole Roesler
• Angela Renee Rogers, PA-C
• Danelle Marie Rohweder, LPCC
• Patrick Roiger, PA-C

• Assisted Living Facility in Burnsville, MN
• Providers in Burnsville, 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 19, 2020; 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.