1. Home
  2. Directory
  3. Minnesota
  4. White Bear Lake
  5. Assisted Living Facility
  6. NPI Profile

PHS-WHITE BEAR LAKE LLC
NPI 1003563545
Assisted Living Facility in White Bear Lake, MN

Active since March 04, 2022
4650 CENTERVILLE RD, WHITE BEAR LAKE, MN 55127(651) 631-6100(651) 631-6122 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Mar 4, 2022 (2 updates tracked since 2022).

About Phs-white Bear Lake Llc NPPES

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

PHS-WHITE BEAR LAKE LLC (NPI 1003563545), doing business as Harbor Crossing, is a healthcare organization registered as an assisted living facility in White Bear Lake, Minnesota and active in the NPI registry since March 2022. The organization lists Mark T Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003563545
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePHS-WHITE BEAR LAKE LLC
Location Address4650 CENTERVILLE RDWhite Bear Lake, MN 55127-3200
Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6432 · Fax (651) 631-6122
Phone(651) 631-6100
Fax(651) 631-6122
Organization SubpartNo
Authorized OfficialMark T MeyerCfo · (651) 631-6102
Enumeration DateMarch 4, 2022
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1003563545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4650 CENTERVILLE RD, White Bear Lake, MN 55127
Open in Google Maps ↗

Other Names 1

Doing Business AsHarbor Crossing

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTAGE INC
Clinic/Center (Rehabilitation)
4650 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Ramsey County (651) 631-6570
KTJ 270 LLC
Assisted Living Facility
4650 CENTERVILLE RD
SAINT PAUL, MN 55127
Ramsey County (651) 653-3288
BRITTNEY R RETZ
Occupational Therapist (Physical Rehabilitation)
4650 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 437-1511

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 Phs-White Bear Lake LLC's NPI number?

The NPI number for Phs-White Bear Lake LLC is 1003563545. It was assigned to this organization in the NPPES registry on March 4, 2022. The provider is doing business as Harbor Crossing.

Where is Phs-White Bear Lake LLC located?

Phs-White Bear Lake LLC is located at 4650 Centerville Rd, White Bear Lake, MN 55127. The listed phone number is (651) 631-6100.

What is Phs-White Bear Lake LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Phs-White Bear Lake LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.