Organization Active NPI

Eden Prairie Senior Living

  • Assisted Living Facility
  • Eden Prairie, MN
National Provider Identifier
1710595863
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EDEN PRAIRIE SENIOR LIVING
Practice address
8480 Franlo Rd
Eden Prairie, MN 55344-2938
Phone
(651) 370-1588
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Brianna Hunstiger
Title
Residence Director
Phone
(651) 370-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8480 Franlo Rd
Eden Prairie, MN 55344-2938

Mailing address

8480 Franlo Rd
Eden Prairie, MN 55344-2938

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
24D2171697Eden Prairie Senior Living8480 Franlo Rd, Eden Prairie, MN 55344Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1710595863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 FRANLO RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 FRANLO RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442938",
            "telephone_number": "651-370-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PRAIRIE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "HUNSTIGER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "RESIDENCE DIRECTOR",
        "authorized_official_telephone_number": "651-370-1589"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.