1. Home
  2. Directory
  3. Minnesota
  4. Plymouth
  5. Assisted Living Facility
  6. NPI Profile

SUMMERWOOD OF PLYMOUTH
NPI 1174947824
Assisted Living Facility in Plymouth, MN

Active since February 14, 2014
16205 36TH AVE N, PLYMOUTH, MN 55446(763) 383-8888 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summerwood Of Plymouth NPPES

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

SUMMERWOOD OF PLYMOUTH (NPI 1174947824) is a healthcare organization registered as an assisted living facility in Plymouth, Minnesota and active in the NPI registry since February 2014. The organization lists Mark Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174947824
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePLYMOUTH SENIOR HOUSING, LLC
Location Address16205 36TH AVE NPlymouth, MN 55446-3374
Mailing Address16205 36th Ave NPlymouth, MN 55446-3374 · (763) 383-8888
Phone(763) 383-8888
Organization SubpartNo
Authorized OfficialMark MeyerCfo · (651) 631-6120
Enumeration DateFebruary 14, 2014
✔ NPI 1174947824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 357338
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.
16205 36TH AVE N, Plymouth, MN 55446
Open in Google Maps ↗

Other Names 1

Other NameSummerwood Of Plymouth

Other Identifiers 1

OtherA517413000MN · Umpi

Other Providers at the Same Location NPPES 2

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

DONNA RENEE GUIMOND OTR/L
Occupational Therapist
16205 36TH AVE N
PLYMOUTH, MN 55446
Hennepin County (763) 383-8888
OPTAGE INC
Clinic/Center (Rehabilitation)
16205 36TH AVE N
PLYMOUTH, MN 55446
Hennepin County (651) 631-6570

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 Plymouth Senior Housing, LLC's NPI number?

The NPI number for Plymouth Senior Housing, LLC is 1174947824. It was assigned to this organization in the NPPES registry on February 14, 2014. The provider is also known as Summerwood Of Plymouth.

Where is Plymouth Senior Housing, LLC located?

Plymouth Senior Housing, LLC is located at 16205 36th Ave N, Plymouth, MN 55446. The listed phone number is (763) 383-8888.

What is Plymouth Senior Housing, 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 Plymouth Senior Housing, LLC was last updated on February 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.