Active NPI
Fridley Assisted Living, LLC
- Assisted Living Facility
- Mendota Heights, MN
National Provider Identifier
1841596996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FRIDLEY ASSISTED LIVING, LLC
- Practice address
- 720 Main St
Suite 205
Mendota Heights, MN 55118-3757 - Phone
- (651) 287-0265
- NPI assigned
- Feb 8, 2011
- 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
- Rhonda Schillinger
- Title
- Manager
- Phone
- (651) 287-0265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
720 Main St
Suite 205
Mendota Heights, MN 55118-3757
Mailing address
720 Main St
Suite 205
Mendota Heights, MN 55118-3757
Phone (651) 287-0265
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1841596996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 MAIN ST",
"address_2": "SUITE 205",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551183757",
"telephone_number": "651-287-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MAIN ST",
"address_2": "SUITE 205",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551183757",
"telephone_number": "651-287-0265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIDLEY ASSISTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "SCHILLINGER",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "651-287-0265"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mendota Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.