Active NPI
Marion Senior Development LLC
- Assisted Living Facility
- Marion, IA
National Provider Identifier
1710195649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- S0248
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S0248 | Other | IA | ASSISTED LIVING LICENSE |
Other names 1
- Summit Pointe
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1057955 | Summit Pointe Senior Living | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.