Active NPI
Metropolitan Living, LLC
- Assisted Living Facility
- Bloomington, MN
National Provider Identifier
1760618607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- METROPOLITAN LIVING, LLC
- Practice address
- 9230 5TH Ave S
Bloomington, MN 55420-3812 - Phone
- (952) 888-1194
- Fax
- (952) 888-1194
- NPI assigned
- Jun 5, 2009
- 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. Brian P Sammon, LMFT, LADC
- Title
- President
- Phone
- (612) 226-7120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
9230 5TH Ave S
Bloomington, MN 55420-3812
Mailing address
2105 W Burnsville Pkwy
Burnsville, MN 55337-4237
Phone (952) 564-3006
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26106 | Other | MN | MN DEPARTMENT OF HEALTH REGISTRATION |
| 162386 | Other | MN | UCARE |
| 348730 | Other | MN | CLASS F HOME CARE PROVIDER |
| 348244 | Other | MN | HOUSING WITH SERVICES |
Other names 1
- Matilde House
National Provider Directory
National Provider Directory- Tax ID family
- Metropolitan Living LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Bloomington, MN
- NPI 1861721169
Locations
9230 5th Ave S
Bloomington, MN 55420
Phone (952) 888-1194
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Bloomington, MN
- NPI 1861721169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1760618607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 W BURNSVILLE PKWY",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374237",
"telephone_number": "952-564-3006",
"fax_number": "952-746-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9230 5TH AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554203812",
"telephone_number": "952-888-1194",
"fax_number": "952-888-1194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-05",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "SAMMON",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-226-7120",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT, LADC"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN DEPARTMENT OF HEALTH REGISTRATION",
"identifier": "26106",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "162386",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLASS F HOME CARE PROVIDER",
"identifier": "348730",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOUSING WITH SERVICES",
"identifier": "348244",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Matilde House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.