NPIMap

Organization Active NPI

Eagan Ops LLC

  • Assisted Living Facility
  • Eagan, MN
National Provider Identifier
1922484880
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EAGAN OPS LLC
Practice address
3810 Alder LN
Eagan, MN 55122-3831
Phone
(651) 379-2410
Fax
(651) 379-2431
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Ryan Novaczyk
Title
President
Phone
(952) 241-8204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3810 Alder LN
Eagan, MN 55122-3831

Mailing address

7625 Golden Triangle Dr
Suite T
Eden Prairie, MN 55344-3710
Phone (952) 241-8202

Other names 1

  • Keystone Eagan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1922484880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 GOLDEN TRIANGLE DR",
            "address_2": "SUITE T",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443710",
            "telephone_number": "952-241-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ALDER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223831",
            "telephone_number": "651-379-2410",
            "fax_number": "651-379-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "NOVACZYK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-241-8204"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Eagan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.