Organization Active NPI

Minnetonka Wblvd MC Owner, LLC

  • Assisted Living Facility
  • Minnetonka, MN
National Provider Identifier
1881541555
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MINNETONKA WBLVD MC OWNER, LLC
Practice address
1520 Clare Lane
Minnetonka, MN 55391
Phone
(952) 295-8200
NPI assigned
Mar 12, 2026
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Stacy Femling
Title
Regional Al Director
Phone
(507) 269-0519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1520 Clare Lane
Minnetonka, MN 55391

Mailing address

1520 Clare Lane
Minnetonka, MN 55391
Phone (952) 295-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1881541555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CLARE LANE",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "952-295-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 CLARE LANE",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "952-295-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNETONKA WBLVD MC OWNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "FEMLING",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "REGIONAL AL DIRECTOR",
        "authorized_official_telephone_number": "507-269-0519"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.