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MERIDIAN MANOR
NPI 1720593353
Assisted Living Facility in Wayzata, MN

Active since December 05, 2017
163 WAYZATA BLVD W, WAYZATA, MN 55391(952) 473-3200 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meridian Manor NPPES

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

MERIDIAN MANOR (NPI 1720593353) is a healthcare organization registered as an assisted living facility in Wayzata, Minnesota and active in the NPI registry since December 2017. The organization lists Renae Witschen, Regional Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1720593353
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMINNESOTA SENIOR LIVING LLC
Location Address163 WAYZATA BLVD WWayzata, MN 55391-1562
Mailing Address915 118th Ave Se Ste 110Bellevue, WA 98005-3875 · (425) 559-6301
Phone(952) 473-3200
Organization SubpartYes
Authorized OfficialRenae WitschenRegional Director Of Operations · (763) 202-1702
Enumeration DateDecember 5, 2017
✔ NPI 1720593353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 381390
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.
163 WAYZATA BLVD W, Wayzata, MN 55391
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Other Names 1

Doing Business AsMeridian Manor

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERIDIAN MANOR OPERATONS LLC
Assisted Living Facility
163 WAYZATA BLVD W
WAYZATA, MN 55391
Hennepin County (952) 473-3700

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 Minnesota Senior Living LLC's NPI number?

The NPI number for Minnesota Senior Living LLC is 1720593353. It was assigned to this organization in the NPPES registry on December 5, 2017. The provider is doing business as Meridian Manor.

Where is Minnesota Senior Living LLC located?

Minnesota Senior Living LLC is located at 163 Wayzata Blvd W, Wayzata, MN 55391. The listed phone number is (952) 473-3200.

What is Minnesota Senior Living 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 Minnesota Senior Living LLC was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.