NPIMap

The Watkins House

Organization Active NPI Assisted Living Facility · Watkins, MN

NPI 1629915145 · NPPES record last updated May 1, 2026

Key facts

NPI
1629915145
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
THE WATKINS HOUSE
Practice address
341 4TH St N
Watkins, MN 55389-1004
Phone
(763) 300-7875
Fax
(763) 201-5991
NPI assigned
May 1, 2026
Organization subpart
No

Authorized official

Name
Stephanie Fryer, LALD
Title
Director of Operations
Phone
(763) 300-7875

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2259649The Watkins House
341 4TH Street N, Watkins, MN 55389		Certificate of waiverMay 9, 2028

National Provider Directory

Tax ID family
Legacy Care Home (6 organizations share this tax ID)

Locations

341 4th St N
Watkins, MN 55389
Phone (763) 300-7875

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

341 4TH St N
Watkins, MN 55389-1004

Mailing address

PO Box 1160
Minnetonka, MN 55345-0160

Other identifiers

IdentifierTypeStateIssuer
A404995000OtherMNUMPI

Other names

  • Adam Jade Ventures, Inc Other name

Other providers in Watkins, MN

All providers in Watkins, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.