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LAKEVILLE ASSISTED LIVING LLC
NPI 1083506091
Assisted Living Facility in Lakeville, MN

Active since July 16, 2025
5928 UPPER 179TH ST W, LAKEVILLE, MN 55044(612) 688-1062 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeville Assisted Living Llc NPPES

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

LAKEVILLE ASSISTED LIVING LLC (NPI 1083506091) is a healthcare organization registered as an assisted living facility in Lakeville, Minnesota and active in the NPI registry since July 2025. The organization lists Ubah Hassan, Owner, as its authorized official.

NPPES Registry Identity

NPI1083506091
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKEVILLE ASSISTED LIVING LLC
Location Address5928 UPPER 179TH ST WLakeville, MN 55044-5088
Mailing Address5928 Upper 179th St WLakeville, MN 55044-5088 · (612) 688-1062
Phone(612) 688-1062
Organization SubpartNo
Authorized OfficialUbah HassanOwner · (507) 271-4262
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1083506091 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.
5928 UPPER 179TH ST W, Lakeville, MN 55044
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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 Lakeville Assisted Living LLC's NPI number?

The NPI number for Lakeville Assisted Living LLC is 1083506091. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Lakeville Assisted Living LLC located?

Lakeville Assisted Living LLC is located at 5928 Upper 179th St W, Lakeville, MN 55044. The listed phone number is (612) 688-1062.

What is Lakeville Assisted Living 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 Lakeville Assisted Living LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.