Shepherds Path Senior Housing,Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

344524 Issued in MN

Legal business name

SHEPHERDS PATH SENIOR HOUSING,INC.

Practice address

13810 Shepherds Path NW
Prior Lake, MN 55379-2455

Phone

(952) 230-3300

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Jon Tranby

Title

Payer Relations Director

Phone

(651) 631-6102

Specialties & licenses 1

Addresses

Other names 1

• MCKENNA CROSSING Other name

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1972929131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 SHEPHERDS PATH NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553792455",
            "telephone_number": "952-230-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS PATH SENIOR HOUSING,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PAYER RELATIONS DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "344524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKENNA CROSSING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Prior Lake, MN
• Providers in Prior Lake, 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 Aug 18, 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.