Elk River Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELK RIVER OPERATIONS, LLC

Doing business as

Elk River Senior Living

Practice address

11124 183Rd Cir NW
Elk River, MN 55330-8227

Phone

(763) 276-7076

NPI assigned

Aug 5, 2019

Last updated

Aug 23, 2021By 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

Shoshana Friedler

Title

Billing Director

Phone

(612) 578-2432

Specialties & licenses 1

Addresses

Other names 1

• Elk River Senior Living Doing business as

Tax ID family

Bel Rae Senior Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bel Rae Senior Living

  • Assisted Living Facility
  • Saint Paul, MN
  • NPI 1598348302
  NPD tax ID
• Cardigan Ridge Senior Living

  • Assisted Living Facility
  • Saint Paul, MN
  • NPI 1215510037
  NPD tax ID

Locations

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1811542160",
    "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": "763-202-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 183RD CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553308227",
            "telephone_number": "763-276-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDLER",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "612-578-2432"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk River Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elk River Eye Clinic, P.a.
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• Elk River Fire & Ambulance Service
• Elk River Foot & Ankle Clinic PA
• Elk River Municipal Utilities
• Elk River Pharmacy
• Robert A Elveru, PT
• Theresa Jane Elyea
• Embrace Mental Wellness
• Encompass Integrative Health, LLC

• Assisted Living Facility in Elk River, MN
• Providers in Elk River, 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 Aug 23, 2021; 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.