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THE ENCORE AT MAHTOMEDI
NPI 1255971685
Assisted Living Facility in Saint Paul, MN

Active since January 14, 2020
720 MAHTOMEDI AVE, SAINT PAUL, MN 55115(651) 528-8442 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2020, Jan 14, 2020 (2 updates tracked since 2020).

About The Encore At Mahtomedi NPPES

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

THE ENCORE AT MAHTOMEDI (NPI 1255971685) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since January 2020. The organization lists Thomas Millard Ostrom, President, as its authorized official.

NPPES Registry Identity

NPI1255971685
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE ENCORE AT MAHTOMEDI
Location Address720 MAHTOMEDI AVESaint Paul, MN 55115-1671
Mailing Address101 N Wacker Dr Ste 608Chicago, IL 60606-1726 · (312) 623-0884 · Fax (312) 462-4462
Phone(651) 528-8442
Organization SubpartNo
Authorized OfficialThomas Millard OstromPresident · (312) 623-0884
Enumeration DateJanuary 14, 2020
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1255971685 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.
720 MAHTOMEDI AVE, Saint Paul, MN 55115
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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.

COVENTRY SENIOR LIVING OF MAHTOMEDI, LLC
Home Health
720 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 528-8442

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 The Encore At Mahtomedi's NPI number?

The NPI number for The Encore At Mahtomedi is 1255971685. It was assigned to this organization in the NPPES registry on January 14, 2020.

Where is The Encore At Mahtomedi located?

The Encore At Mahtomedi is located at 720 Mahtomedi Ave, Saint Paul, MN 55115. The listed phone number is (651) 528-8442.

What is The Encore At Mahtomedi'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 The Encore At Mahtomedi was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.