Parmly on the Lake Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARMLY ON THE LAKE ASSISTED LIVING LLC

Practice address

28210 Old Towne Rd
Chisago City, MN 55013-9556

Phone

(651) 257-0575

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Legum

Title

Ceo

Phone

(507) 625-8741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1760996672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SOUTHBEND AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012168",
            "telephone_number": "507-203-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28210 OLD TOWNE RD",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139556",
            "telephone_number": "651-257-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMLY ON THE LAKE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-625-8741"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Dental Professionals Minnesota PC (Midwest Dental - Chisago City)
• Kandyce Moen, OTR
• Courtney Leigh Moore, DO
• Nicole Marie Noren, MA LADC LPCC
• Northwoods Chiropractic of Chisago City PA
• Parmly on the Lake LLC
• Darcy Lynn Paulsen, PHARM.D.
• Kurt R Peterson, MD
• Jennifer Posey, L. AC.
• Robert Paul Post, MD

• Assisted Living Facility in Chisago City, MN
• Providers in Chisago City, 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 Nov 30, 2017; 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.