Organization Active NPI

Chandler Place Limited Partnership

  • Assisted Living Facility
  • St Anthony, MN
National Provider Identifier
1881639730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
326567 Issued in MN
Legal business name
CHANDLER PLACE LIMITED PARTNERSHIP
Practice address
3701 Chandler Dr NE
St Anthony, MN 55421-4413
Phone
(612) 788-7321
Fax
(612) 913-5370
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John B Goodman
Title
President of General Partner
Phone
(952) 361-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 326567 MN Primary

Addresses

Primary practice location

3701 Chandler Dr NE
St Anthony, MN 55421-4413

Mailing address

1107 Hazeltine Blvd
Suite 200
Chaska, MN 55318-1009
Phone (952) 361-8000

Other names 1

  • CHANDLER PLACE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0907843Chandler Place Limited Partnership3701 Chandler Drive NE, Minneapolis, MN 55421Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881639730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CHANDLER DR NE",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554214413",
            "telephone_number": "612-788-7321",
            "fax_number": "612-913-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER PLACE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-361-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "326567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANDLER PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.