ANCORA HEALTHCARE LLC
NPI 1518601400
Assisted Living Facility - Assisted Living, Mental Illness in Spring Lake Park, MN

Active since April 26, 2022
8017 VAN BUREN ST NE, SPRING LAKE PARK, MN 55432(612) 615-0061 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2023, Apr 26, 2022 (2 updates tracked since 2022).

About Ancora Healthcare Llc NPPES

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

ANCORA HEALTHCARE LLC (NPI 1518601400) is a healthcare organization registered as an assisted living, mental illness in Spring Lake Park, Minnesota and active in the NPI registry since April 2022. The organization lists Emmanuel D Williams, Administrator, as its authorized official.

NPPES Registry Identity

NPI1518601400
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameANCORA HEALTHCARE LLC
Location Address8017 VAN BUREN ST NESpring Lake Park, MN 55432-2038
Mailing Address11050 Creekside LnOsseo, MN 55369-2687 · (612) 615-0061 · Fax (763) 322-9278
Organization SubpartNo
Authorized OfficialEmmanuel D WilliamsAdministrator · (612) 615-0061
Enumeration DateApril 26, 2022
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1518601400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
8017 VAN BUREN ST NE, Spring Lake Park, MN 55432

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 Ancora Healthcare LLC's NPI number?

The NPI number for Ancora Healthcare LLC is 1518601400. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Ancora Healthcare LLC located?

Ancora Healthcare LLC is located at 8017 Van Buren St NE, Spring Lake Park, MN 55432. The listed phone number is (612) 615-0061.

What is Ancora Healthcare LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Ancora Healthcare LLC was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.