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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SECOND STORY LLC
NPI 1659213361
Assisted Living Facility in Champlin, MN

Active since April 09, 2026
1013 W RIVER RD, CHAMPLIN, MN 55316(763) 346-0311 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 30, 2026, Apr 9, 2026 (2 updates tracked since 2026).

About Second Story Llc NPPES

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

SECOND STORY LLC (NPI 1659213361) is a healthcare organization registered as an assisted living facility in Champlin, Minnesota and active in the NPI registry since April 2026. The organization lists Mukhtar Dahir, Owner, as its authorized official.

NPPES Registry Identity

NPI1659213361
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSECOND STORY LLC
Location Address1013 W RIVER RDChamplin, MN 55316-2002
Mailing Address5273 Oak Grove Pkwy NBrooklyn Park, MN 55443-4401 · (763) 346-0311
Phone(763) 346-0311
Organization SubpartNo
Authorized OfficialMukhtar DahirOwner · (763) 346-0311
Enumeration DateApril 9, 2026
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1659213361 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.
1013 W RIVER RD, Champlin, MN 55316
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Other Identifiers 1

Other425562MN · Mn Dept Of Health Assisted Living Facility License

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 Second Story LLC's NPI number?

The NPI number for Second Story LLC is 1659213361. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Second Story LLC located?

Second Story LLC is located at 1013 W River Rd, Champlin, MN 55316. The listed phone number is (763) 346-0311.

What is Second Story LLC'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 Second Story LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.