Organization Active NPI

Marion Senior Development LLC

  • Assisted Living Facility
  • Marion, IA
National Provider Identifier
1710195649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0248 Issued in IA
Legal business name
MARION SENIOR DEVELOPMENT LLC
Practice address
3505 English Glen CT
Marion, IA 52302
Phone
(319) 373-4242
Fax
(319) 373-3013
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dan Haugen
Title
Corporate Secretary
Phone
(612) 455-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0248 IA Primary

Addresses

Primary practice location

3505 English Glen CT
Marion, IA 52302

Mailing address

3737 Bryant Ave S
Minneapolis, MN 55409-1019
Phone (612) 827-5931

Other identifiers 1

IdentifierTypeStateIssuer
S0248OtherIAASSISTED LIVING LICENSE

Other names 1

  • Summit Pointe Doing business as

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
16D1057955Summit Pointe Senior Living3505 English Glen Avenue, Marion, IA 52302Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710195649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091019",
            "telephone_number": "612-827-5931",
            "fax_number": "612-827-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ENGLISH GLEN CT",
            "city": "MARION",
            "state": "IA",
            "postal_code": "52302",
            "telephone_number": "319-373-4242",
            "fax_number": "319-373-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION SENIOR DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "612-455-4015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING LICENSE",
            "identifier": "S0248",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IA

Sources for this page

  • 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.