Organization Active NPI

Pryor'S Comfort Assisted Living LLC

  • Assisted Living Facility
  • Champlin, MN
National Provider Identifier
1770461667
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRYOR'S COMFORT ASSISTED LIVING LLC
Practice address
11625 Colorado Ave N
Champlin, MN 55316-2978
Phone
(763) 300-3543
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Laquita Pryor, BSN, RN
Title
Owner/Director/Admin
Phone
(763) 300-3543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11625 Colorado Ave N
Champlin, MN 55316-2978

Mailing address

11625 Colorado Ave N
Champlin, MN 55316-2978
Phone (763) 300-3543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1770461667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 COLORADO AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162978",
            "telephone_number": "763-300-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 COLORADO AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162978",
            "telephone_number": "763-300-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYOR'S COMFORT ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/ADMIN",
        "authorized_official_telephone_number": "763-300-3543",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.