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PHOUVIENG SIVILAY
NPI 1245012715
Assisted Living Facility in Eden Prairie, MN

Active since October 18, 2023
10452 SPYGLASS DR, EDEN PRAIRIE, MN 55347(612) 508-8743 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phouvieng Sivilay NPPES

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

PHOUVIENG SIVILAY (NPI 1245012715) is an individual assisted living facility provider in Eden Prairie, Minnesota, licensed in Minnesota (39902) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1245012715
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NamePHOUVIENG SIVILAY
Location Address10452 SPYGLASS DREden Prairie, MN 55347-4656
Mailing Address10428 Shelter GrvEden Prairie, MN 55347-4855 · (612) 508-8743
Phone(612) 508-8743
Sole ProprietorYes
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1245012715 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 · 39902
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.
10452 SPYGLASS DR, Eden Prairie, MN 55347
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Other Providers at the Same Location NPPES

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

CHIMNEY PINES LLC
Assisted Living Facility
10452 SPYGLASS DR
EDEN PRAIRIE, MN 55347
Hennepin County (612) 508-8743

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 Phouvieng Sivilay's NPI number?

The NPI number for Phouvieng Sivilay is 1245012715. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Phouvieng Sivilay located?

Phouvieng Sivilay practices at 10452 Spyglass Dr, Eden Prairie, MN 55347. The listed phone number is (612) 508-8743.

What is Phouvieng Sivilay'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 Phouvieng Sivilay was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.