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MISS PHINSAYKEO SOURIYATHAY
NPI 1265079404
Assisted Living Facility in Brooklyn Park, MN

Active since December 06, 2019
9300 PENN AVE N, BROOKLYN PARK, MN 55444(612) 368-1236 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Phinsaykeo Souriyathay NPPES

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

MISS PHINSAYKEO SOURIYATHAY (NPI 1265079404) is an individual assisted living facility provider in Brooklyn Park, Minnesota and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1265079404
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMISS PHINSAYKEO SOURIYATHAY
Location Address9300 PENN AVE NBrooklyn Park, MN 55444-1166
Mailing Address6231 Sunny LnBrooklyn Park, MN 55428-2732 · (612) 368-1236
Phone(612) 368-1236
Sole ProprietorYes
Enumeration DateDecember 6, 2019
✔ NPI 1265079404 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.
9300 PENN AVE N, Brooklyn Park, MN 55444
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Other Identifiers 1

MedicaidD1245705CA

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 Phinsaykeo Souriyathay's NPI number?

The NPI number for Phinsaykeo Souriyathay is 1265079404. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Phinsaykeo Souriyathay located?

Phinsaykeo Souriyathay practices at 9300 Penn Ave N, Brooklyn Park, MN 55444. The listed phone number is (612) 368-1236.

What is Phinsaykeo Souriyathay'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 Phinsaykeo Souriyathay was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.