Organization Active NPI

Metropolitan Living, LLC

  • Assisted Living Facility
  • Bloomington, MN
National Provider Identifier
1760618607
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Oct 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
26106OtherMNMN DEPARTMENT OF HEALTH REGISTRATION
162386OtherMNUCARE
348730OtherMNCLASS F HOME CARE PROVIDER
348244OtherMNHOUSING WITH SERVICES

Other names 1

  • Matilde House Other name

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.