NPIMap

Organization Active NPI

Central Minnesota Senior Housing, LLC

  • Assisted Living Facility
  • Buffalo, MN
National Provider Identifier
1992071955
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
352655 Issued in MN
Legal business name
CENTRAL MINNESOTA SENIOR HOUSING, LLC
Practice address
407 8TH St NW
Buffalo, MN 55313-1003
Phone
(763) 682-9366
Fax
(763) 682-6569
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Aandrea Kyllonen
Title
Executive Director
Phone
(763) 682-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 352655 MN Primary

Addresses

Primary practice location

407 8TH St NW
Buffalo, MN 55313-1003

Mailing address

407 8TH St NW
Buffalo, MN 55313-1003
Phone (763) 682-9366

Other names 1

  • Sunrise Cottages of Buffalo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Minnesota Senior Housing LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1992071955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 8TH ST NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131003",
            "telephone_number": "763-682-9366",
            "fax_number": "763-682-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 8TH ST NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131003",
            "telephone_number": "763-682-9366",
            "fax_number": "763-682-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MINNESOTA SENIOR HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "KYLLONEN",
        "authorized_official_first_name": "AANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-682-9366"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "352655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Cottages of Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.