Prairie Bluffs Senior Living Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC

Doing business as

Prairie Bluffs Senior Living

Practice address

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100

Phone

(952) 444-5000

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Caryl Nordland

Title

Controller

Phone

(651) 706-2715

Specialties & licenses 1

Addresses

Other names 1

• Prairie Bluffs Senior Living Doing business as

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1740887090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N STE 170",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554220700",
            "telephone_number": "651-706-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HENNEPIN TOWN RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553475100",
            "telephone_number": "952-444-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "NORDLAND",
        "authorized_official_first_name": "CARYL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "651-706-2715"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Bluffs Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Eden Prairie, MN
• Providers in Eden Prairie, 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 Oct 8, 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.