Southview Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

333707 Issued in MN

Legal business name

SOUTHVIEW SENIOR LIVING

Practice address

1984 Oakdale Ave
Saint Paul, MN 55118-3553

Phone

(651) 554-4838

Fax

(651) 455-0267

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Kelly J Myers

Title

Residence Director

Phone

(651) 554-4838

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710050836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 OAKDALE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183553",
            "telephone_number": "651-554-4838",
            "fax_number": "651-455-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 OAKDALE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183553",
            "telephone_number": "651-554-4838",
            "fax_number": "651-455-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHVIEW SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RESIDENCE DIRECTOR",
        "authorized_official_telephone_number": "651-554-4838"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "333707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Metro Human Services- TCM (RADIAS Health)
• South Metro Human Services-Act Blue (RADIAS Health)
• South Metro Human Services-Act Purple (RADIAS Health)
• Samuel David South, MD
• Southview Acres Health Care Center Inc
• Carol A Soutor, MD
• Ashley Elizabeth Sovereign, PSY.D
• John Sowada, MA
• James M Soyka, M.D.
• SP Spine Center P a

• Assisted Living Facility in Saint Paul, MN
• Providers in Saint Paul, 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 Aug 22, 2020; 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.