Mounds View Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOUNDS VIEW OPERATIONS, LLC

Doing business as

Bel Rae Senior Living

Practice address

2330 County Highway 10
Mounds View, MN 55112-1406

Phone

(763) 784-7633

NPI assigned

Apr 6, 2015

Last updated

Apr 6, 2015By 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

Kelly Royten

Title

Executive Director

Phone

(763) 784-7633

Specialties & licenses 1

Addresses

Other names 1

• Bel Rae Senior Living Doing business as

Tax ID family

Bel Rae Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mounds View Operations, LLC

  dba Bel Rae Senior Living

  • Assisted Living Facility
  • Saint Paul, MN
  • NPI 1235802844
  NPD tax ID

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1861887986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 COUNTY HIGHWAY 10",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "551121406",
            "telephone_number": "763-784-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 COUNTY HIGHWAY 10",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "551121406",
            "telephone_number": "763-784-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNDS VIEW OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "ROYTEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-784-7633"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bel Rae Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kco Home Health Care LLC
• Chris Larson, D.C.
• Lifespan Health Services Inc
• Midwest Medical Services, Inc.
• Mounds View Family Dental
• Outreach Transportation Services LLC (Outreach Transport)
• Phoenix Residence, Inc.
• Snyders Drug (Snyder Drug Emporium)
• Summerwoods Healthcare Services
• Walgreen Co (Walgreens #06447)

• Assisted Living Facility in Mounds View, MN
• Providers in Mounds View, 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 Apr 6, 2015; 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.