Organization Active NPI

Metropolitan Living, LLC

  • Assisted Living Facility
  • Bloomington, MN
National Provider Identifier
1861721169
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
26939 Issued in MN
Legal business name
METROPOLITAN LIVING, LLC
Practice address
1400 W 100TH St
Bloomington, MN 55431-3125
Phone
(952) 881-6424
Fax
(952) 881-6586
NPI assigned
Dec 15, 2009
Organization subpart
Yes
Parent organization
METROPOLITAN LIVING, LLCAs reported in NPPES

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, MA, LADC, LMFT
Title
President
Phone
(612) 226-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 26939 MN Primary

Addresses

Primary practice location

1400 W 100TH St
Bloomington, MN 55431-3125

Mailing address

2105 W Burnsville Pkwy
Burnsville, MN 55337-4237
Phone (952) 564-3006

Other identifiers 3

IdentifierTypeStateIssuer
346596OtherMNHOUSING WITH SERVICES
345641OtherMNCLASS F HOME CARE PROVIDER
26939OtherMNMN DEPARTMENT OF HEALTH LICENSE

Other names 1

  • Amelie House Other name

National Provider Directory

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

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1861721169",
    "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": "952-564-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313125",
            "telephone_number": "952-881-6424",
            "fax_number": "952-881-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN LIVING, LLC",
        "enumeration_date": "2009-12-15",
        "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": "MA, LADC, LMFT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "26939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOUSING WITH SERVICES",
            "identifier": "346596",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS F HOME CARE PROVIDER",
            "identifier": "345641",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPARTMENT OF HEALTH LICENSE",
            "identifier": "26939",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelie 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.