NPIMap

Organization Active NPI

Arlington Place Assisted Living

  • Assisted Living Facility
  • Saint Joseph, MN
National Provider Identifier
1629915400
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ARLINGTON PLACE ASSISTED LIVING
Practice address
21 16TH Ave SE
Saint Joseph, MN 56374-9789
Phone
(320) 363-1313
Fax
(763) 201-5991
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAM JADE VENTURES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

21 16TH Ave SE
Saint Joseph, MN 56374-9789

Mailing address

PO Box 1160
Minnetonka, MN 55345-0160
Phone (763) 300-7875

Other identifiers 1

IdentifierTypeStateIssuer
A420031600OtherMNUMPI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1028388Arlington Place21 16TH Ave SE, St Joseph, MN 56374Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
The Watkins House6 organizations share this tax ID, including this one
Part of
The Watkins House

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1629915400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1160",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553450160",
            "telephone_number": "763-300-7875",
            "fax_number": "763-201-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 16TH AVE SE",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563749789",
            "telephone_number": "320-363-1313",
            "fax_number": "763-201-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PLACE ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAM JADE VENTURES, INC",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "763-300-7875",
        "authorized_official_credential": "LALD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A420031600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.