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KINDRED SUPPORTS LLC
NPI 1669110953
Assisted Living Facility in Prior Lake, MN

Active since May 25, 2022
5554 WOODSIDE RD SE, PRIOR LAKE, MN 55372(612) 810-9796 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kindred Supports Llc NPPES

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

KINDRED SUPPORTS LLC (NPI 1669110953), doing business as Kindred Supports, is a healthcare organization registered as an assisted living facility in Prior Lake, Minnesota and active in the NPI registry since May 2022. The organization lists Anthony Gjorvad, Owner, as its authorized official.

NPPES Registry Identity

NPI1669110953
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKINDRED SUPPORTS LLC
Location Address5554 WOODSIDE RD SEPrior Lake, MN 55372-2044
Mailing Address4220 157th St WRosemount, MN 55068-4600 · (612) 812-9786
Phone(612) 810-9796
Organization SubpartNo
Authorized OfficialAnthony GjorvadOwner · (612) 812-9786
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
✔ NPI 1669110953 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.
5554 WOODSIDE RD SE, Prior Lake, MN 55372
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Other Names 2

Doing Business AsKindred Supports
Doing Business AsTouching Lives Community

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 Kindred Supports LLC's NPI number?

The NPI number for Kindred Supports LLC is 1669110953. It was assigned to this organization in the NPPES registry on May 25, 2022. The provider is doing business as Kindred Supports and Touching Lives Community.

Where is Kindred Supports LLC located?

Kindred Supports LLC is located at 5554 Woodside Rd SE, Prior Lake, MN 55372. The listed phone number is (612) 810-9796.

What is Kindred Supports 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 Kindred Supports LLC was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.