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Provider record · NPI 1093604456 · active

4685 PARK NICOLLET AVENUE OPCO LLC

Assisted Living Facility in PRIOR LAKE, Minnesota

Record

NPI
1093604456
Type
Organization (NPI-2)
Specialty
Assisted Living Facility (310400000X)
Practice location
PRIOR LAKE MN 55372
Practice phone
9522269200
Last updated
2025-09-22

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Contact details

Work email
Not on file
Home address
Not matched
Cell phone
Not matched

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Leadership on file

1 named leadership contact on file, by role:

Operations
1

Executives, officers and owners as public filings name them, with the title each filing gives them. Leadership across US healthcare, by role.

What they bill and prescribe

The procedures this provider billed Medicare for, code by code, and the drugs they prescribed under Part D — from published Medicare data for 2024, for signed-in customers. Search can be filtered on either by name, so “knee replacement” and “Eliquis” are queries rather than codes.

Published Medicare fee-for-service data for 2024, covering about one in seven clinicians nationally, and more in the specialties that bill it most — not all-payor claims, and low-volume providers are removed before publication. A provider with nothing published has no published Medicare volume, which covers no volume, volume below the publication threshold and not billing Medicare at all — the published data does not separate them. Provider-level aggregates only; nothing patient-level exists here. What it covers.

Also in the record

Group affiliations and employers, facility ownership, programme standing and licence detail appear here for signed-in customers.

Similar organisations

Organisations like 4685 PARK NICOLLET AVENUE OPCO LLC

OrganisationTypeLocationBeds
Community Assisted Living, IncAssisted Living FacilityPrior Lake, MN—
Kindred Supports LLCAssisted Living FacilityPrior Lake, MN—
Prior Lake Ops LLCAssisted Living FacilityPrior Lake, MN—
Shepherds Path Senior Housing,Inc.Assisted Living FacilityPrior Lake, MN—
Suite Living of Prior LakeAssisted Living FacilityPrior Lake, MN—
Touching Lives Community, Inc.Assisted Living FacilityPrior Lake, MN—
FAQ

About 4685 PARK NICOLLET AVENUE OPCO LLC

Who runs 4685 PARK NICOLLET AVENUE OPCO LLC?

1 named leadership contact is on file (operations 1). Names and titles are available to signed-in customers.

Reach the people behind 4685 PARK NICOLLET AVENUE OPCO LLC

An NPI is an identifier, not a credential: it says this provider is enumerated, not that they are licensed or in good standing today.

4685 PARK NICOLLET AVENUE OPCO LLC · NPI 1093604456 · NPI Mark