VOP SOUTH GROVE LODGE, LLC
NPI 1295494110
Custodial Care Facility - Adult Care Home in Austin, MN

Q: What is Vop South Grove Lodge, LLC's NPI number?

The NPI number for Vop South Grove Lodge, LLC is 1295494110. It was assigned to this organization in the NPPES registry on December 8, 2021. The provider is doing business as South Grove Lodge Senior Living.

Q: What is Vop South Grove Lodge, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since December 08, 2021

1701 22ND AVE SW, AUSTIN, MN 55912(507) 396-4960(507) 434-0041 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Dec 8, 2021 (2 updates tracked since 2021).

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About Vop South Grove Lodge, Llc NPPES

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

VOP SOUTH GROVE LODGE, LLC (NPI 1295494110), doing business as South Grove Lodge Senior Living, is a healthcare organization registered as an adult care home in Austin, Minnesota and active in the NPI registry since December 2021. The organization lists Terri Lynn Baker, Director Of Licensing, as its authorized official.

NPPES Registry Identity

NPI1295494110

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameVOP SOUTH GROVE LODGE, LLC

Location Address1701 22ND AVE SWAustin, MN 55912-1798

Mailing Address5101 Ne 82nd Ave Ste 200Vancouver, WA 98662-6343 · (503) 998-5810 · Fax (360) 254-1770

Phone(507) 396-4960

Fax(507) 434-0041

Organization SubpartNo

Authorized OfficialTerri Lynn BakerDirector Of Licensing · (503) 998-5810

Enumeration DateDecember 8, 2021

Last NPPES UpdateApril 1, 20262 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1295494110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1701 22ND AVE SW, Austin, MN 55912

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Other Names 1

Doing Business AsSouth Grove Lodge Senior Living

Other Identifiers 1

Other404147MN · Minnesota Department Of Health (mdh) - Elderly Waiver

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 Vop South Grove Lodge, LLC's NPI number?

The NPI number for Vop South Grove Lodge, LLC is 1295494110. It was assigned to this organization in the NPPES registry on December 8, 2021. The provider is doing business as South Grove Lodge Senior Living.

Where is Vop South Grove Lodge, LLC located?

Vop South Grove Lodge, LLC is located at 1701 22nd Ave SW, Austin, MN 55912. The listed phone number is (507) 396-4960.

What is Vop South Grove Lodge, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Vop South Grove Lodge, LLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.