Landmark Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LANDMARK SENIOR LIVING, LLC

Practice address

6490 Central Ave NE
Fridley, MN 55432-5112

Phone

(763) 571-7355

NPI assigned

Sep 13, 2012

Last updated

Sep 13, 2012By 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

Molly Toulouse

Title

Coo

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1619227071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 CENTRAL AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 CENTRAL AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325112",
            "telephone_number": "763-571-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "TOULOUSE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fridley, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.