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OrganizationActive

Champlin Shores Llc

Assisted Living Facility

JON HARDER
NPI: 1194845107Champlin, Minnesota, 55316(763) 712-0118

About Champlin Shores Llc

Champlin Shores Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1194845107. The authorized official for Champlin Shores Llc is JON HARDER.

The organization is headquartered at 119 HAYDEN LAKE RD E, Champlin, Minnesota 55316. The main office can be reached at (763) 712-0118. Champlin Shores Llc has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address
119 HAYDEN LAKE RD E
City
Champlin
State
Minnesota
ZIP
55316-1547
Phone
(763) 712-0118
View on Google Maps

Authorized Official

Name
JON HARDER

Mailing Address

Address
3723 FAIRVIEW INDUSTRIAL DR SE STE 270
City
SALEM
State
OR
ZIP
973024975

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Assisted Living Facility
Classification
Assisted Living Facility
Taxonomy Code
310400000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Champlin Shores Llc's NPI number?
Champlin Shores Llc's National Provider Identifier (NPI) is 1194845107. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Champlin Shores Llc specialize in?
Champlin Shores Llc specializes in Assisted Living Facility.
Where is Champlin Shores Llc located?
Champlin Shores Llc practices at 119 HAYDEN LAKE RD E, Champlin, Minnesota 55316. You can reach them by phone at (763) 712-0118.
Does Champlin Shores Llc accept Medicare?
Based on available data, Champlin Shores Llc is not currently enrolled in the Medicare program.
Does Champlin Shores Llc offer telehealth or virtual visits?
Champlin Shores Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Champlin Shores Llc holds NPI 1194845107, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.