Lino Lakes GW, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

372756 Issued in MN

Legal business name

LINO LAKES GW, LLC

Practice address

675 Market Place Drive
Lino Lakes, MN 55014

Phone

(651) 287-0265

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Sarah Pauley

Title

Business Manager

Phone

(651) 287-0265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1720462617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MARKET PLACE DRIVE",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "55014",
            "telephone_number": "651-287-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINO LAKES GW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "PAULEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-287-0265"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "372756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas J Latuseck, PSYD, LP
• Payton Christine Le, LMFT
• Pamela Lynn Lenz, CCC-SLP
• Rachael Lick
• Lino Lakes Family Dentistry
• Luxottica of America Inc.
• Jennifer Kay Massa, D.C.
• Jessica McAlpine, APRN, CNP
• Kelsey McLaughlin, LMFT
• Rebecca Lynn McNeil, PHARMD

• Assisted Living Facility in Lino Lakes, MN
• Providers in Lino Lakes, 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 Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.