DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

4685 PARK NICOLLET AVENUE OPCO LLC

Active Organization

4685 PARK NICOLLET AVENUE OPCO LLC is a Assisted Living Facility organization located in PRIOR LAKE, Minnesota. NPI 1093604456 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PRIOR LAKE, MN

Registration Details

NPI Number
1093604456
Provider Type
Organization
NPI Issued
Jul 1, 2025 (1.1447948894937 yrs)
Last Updated
Sep 22, 2025

Practice Information

Address
4685 PARK NICOLLET AVE SE
PRIOR LAKE, MN, 553723926
Browse MN providers · Browse ZIP 55372
Phone
9522269200
Fax
6123602331
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in PRIOR LAKE, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.