Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER LAKE
NPI 1538072483
Custodial Care Facility - Adult Care Home in Burnsville, MN

Q: What is Jennifer Lake's NPI number?

The NPI number for Jennifer Lake is 1538072483. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Q: What is Jennifer Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lake was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since September 23, 2026

1713 KELLER LAKE DR, BURNSVILLE, MN 55306(952) 923-0698 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Jennifer Lake NPPES

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

JENNIFER LAKE (NPI 1538072483) is an individual adult care home provider in Burnsville, Minnesota and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1538072483

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameJENNIFER LAKE

Location Address1713 KELLER LAKE DRBurnsville, MN 55306-6376

Mailing Address1713 Keller Lake DrBurnsville, MN 55306-6376 · (952) 923-0698

Phone(952) 923-0698

Sole ProprietorYes

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1538072483 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.

1713 KELLER LAKE DR, Burnsville, MN 55306

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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 Jennifer Lake's NPI number?

The NPI number for Jennifer Lake is 1538072483. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Jennifer Lake located?

Jennifer Lake practices at 1713 Keller Lake Dr, Burnsville, MN 55306. The listed phone number is (952) 923-0698.

What is Jennifer Lake'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 Jennifer Lake was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.