AMAZING LOVE ELDERLY CARE CENTER LLC
NPI 1003368309
Custodial Care Facility - Adult Care Home in Randall, MN

Q: What is Amazing Love Elderly Care Center LLC's NPI number?

The NPI number for Amazing Love Elderly Care Center LLC is 1003368309. It was assigned to this organization in the NPPES registry on November 3, 2016.

Q: What is Amazing Love Elderly Care Center LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since November 03, 2016

7807 EMERALD RD, RANDALL, MN 56475(320) 749-2485 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amazing Love Elderly Care Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMAZING LOVE ELDERLY CARE CENTER LLC (NPI 1003368309) is a healthcare organization registered as an adult care home in Randall, Minnesota and active in the NPI registry since November 2016. The organization lists Penny Jean Poling, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1003368309

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameAMAZING LOVE ELDERLY CARE CENTER LLC

Location Address7807 EMERALD RDRandall, MN 56475-2428

Mailing Address31 10th St NwStaples, MN 56479-5118

Phone(320) 749-2485

Organization SubpartNo

Authorized OfficialPenny Jean PolingOwner/partner · (218) 296-1872

Enumeration DateNovember 3, 2016

✔ NPI 1003368309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MN · 1083851

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

7807 EMERALD RD, Randall, MN 56475

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amazing Love Elderly Care Center LLC's NPI number?

The NPI number for Amazing Love Elderly Care Center LLC is 1003368309. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Amazing Love Elderly Care Center LLC located?

Amazing Love Elderly Care Center LLC is located at 7807 Emerald Rd, Randall, MN 56475. The listed phone number is (320) 749-2485.

What is Amazing Love Elderly Care Center LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Amazing Love Elderly Care Center LLC was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.