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4685 PARK NICOLLET AVENUE OPCO LLC
NPI 1093604456
Assisted Living Facility in Prior Lake, MN

Active since July 01, 2025
4685 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372(952) 226-9200(612) 360-2331 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 4685 Park Nicollet Avenue Opco Llc NPPES

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

4685 PARK NICOLLET AVENUE OPCO LLC (NPI 1093604456) is a healthcare organization registered as an assisted living facility in Prior Lake, Minnesota and active in the NPI registry since July 2025. The organization lists Kate Ryg, Clinical Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1093604456
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name4685 PARK NICOLLET AVENUE OPCO LLC
Location Address4685 PARK NICOLLET AVE SEPrior Lake, MN 55372-3926
Mailing Address5900 Clearwater Dr Ste 500Minnetonka, MN 55343-8961 · (763) 486-9187 · Fax (612) 360-2331
Phone(952) 226-9200
Fax(612) 360-2331
Organization SubpartYesParent: Welltower Trs Holdco Llc
Authorized OfficialKate RygClinical Reimbursement Manager · (763) 486-9187
Enumeration DateJuly 1, 2025
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1093604456 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.
4685 PARK NICOLLET AVE SE, Prior Lake, MN 55372
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Other Providers at the Same Location NPPES 4

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

PRIOR LAKE OPS LLC
Assisted Living Facility
4685 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 226-9200
KEYSTONE COMMUNITIES OF PRIOR LAKE
Lodging
4685 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 836-2793
JESSICA LYNN SPURRIER
Nurse Practitioner (Family)
4685 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Scott County (612) 254-9456
KATHERINE PRICE OTR/L
Occupational Therapist
4685 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 226-9200

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 4685 Park Nicollet Avenue Opco LLC's NPI number?

The NPI number for 4685 Park Nicollet Avenue Opco LLC is 1093604456. It was assigned to this organization in the NPPES registry on July 1, 2025.

Where is 4685 Park Nicollet Avenue Opco LLC located?

4685 Park Nicollet Avenue Opco LLC is located at 4685 Park Nicollet Ave SE, Prior Lake, MN 55372. The listed phone number is (952) 226-9200.

What is 4685 Park Nicollet Avenue Opco 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 4685 Park Nicollet Avenue Opco LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.