Organization Active NPI

Shelter Arms2 Living LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1962395756
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHELTER ARMS2 LIVING LLC
Practice address
7201 Kyle Ave N
Brooklyn Park, MN 55429-1329
Phone
(952) 686-1357
Fax
(763) 374-4451
NPI assigned
May 30, 2025
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Angie Summerville, RN
Title
Clinical Nurse Manager (RN)
Phone
(952) 686-1357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

7201 Kyle Ave N
Brooklyn Park, MN 55429-1329

Mailing address

7201 Kyle Ave N
Brooklyn Park, MN 55429-1329
Phone (952) 686-1357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1962395756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 KYLE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291329",
            "telephone_number": "952-686-1357",
            "fax_number": "763-374-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 KYLE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291329",
            "telephone_number": "952-686-1357",
            "fax_number": "763-374-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER ARMS2 LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "SUMMERVILLE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CLINICAL NURSE MANAGER (RN)",
        "authorized_official_telephone_number": "952-686-1357",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.