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BROOKLYN PARK ASSISTED LIVING
NPI 1245807510
Assisted Living Facility in Brooklyn Park, MN

Active since June 07, 2021
7711 HUMBOLDT AVE N, BROOKLYN PARK, MN 55444(612) 200-0901 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooklyn Park Assisted Living NPPES

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

BROOKLYN PARK ASSISTED LIVING (NPI 1245807510), doing business as The Lodge Of Brooklyn Park, is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since June 2021. The organization lists Michael Crow, Owner, as its authorized official.

NPPES Registry Identity

NPI1245807510
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKLYN PARK ASSISTED LIVING
Location Address7711 HUMBOLDT AVE NBrooklyn Park, MN 55444-2167
Mailing AddressPo Box 46104Plymouth, MN 55446-0104 · (612) 200-0901
Phone(612) 200-0901
Organization SubpartNo
Authorized OfficialMichael CrowOwner · (612) 986-3859
Enumeration DateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1245807510 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.
7711 HUMBOLDT AVE N, Brooklyn Park, MN 55444
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Other Names 1

Doing Business AsThe Lodge Of Brooklyn Park

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 Brooklyn Park Assisted Living's NPI number?

The NPI number for Brooklyn Park Assisted Living is 1245807510. It was assigned to this organization in the NPPES registry on June 7, 2021. The provider is doing business as The Lodge of Brooklyn Park.

Where is Brooklyn Park Assisted Living located?

Brooklyn Park Assisted Living is located at 7711 Humboldt Ave N, Brooklyn Park, MN 55444. The listed phone number is (612) 200-0901.

What is Brooklyn Park Assisted Living'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 Brooklyn Park Assisted Living was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.