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11020 39TH ST N OPCO LLC
NPI 1801776679
Assisted Living Facility in Lake Elmo, MN

Active since September 03, 2025
11020 39TH ST N, LAKE ELMO, MN 55042(612) 276-3877(612) 360-2331 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 11020 39th St N Opco Llc NPPES

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

11020 39TH ST N OPCO LLC (NPI 1801776679) is a healthcare organization registered as an assisted living facility in Lake Elmo, Minnesota and active in the NPI registry since September 2025. The organization lists Kate Ryg, Clinical Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1801776679
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name11020 39TH ST N OPCO LLC
Location Address11020 39TH ST NLake Elmo, MN 55042-9668
Mailing Address5900 Clearwater Dr Ste 500Minnetonka, MN 55343-8961 · (763) 486-9187 · Fax (612) 360-2331
Phone(612) 276-3877
Fax(612) 360-2331
Organization SubpartYesParent: Welltower Trs Holdco Llc
Authorized OfficialKate RygClinical Reimbursement Manager · (763) 486-9187
Enumeration DateSeptember 3, 2025
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1801776679 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.
11020 39TH ST N, Lake Elmo, MN 55042
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Other Providers at the Same Location NPPES

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

ARBOR GLEN SENIOR LIVING
Assisted Living Facility
11020 39TH ST N
LAKE ELMO, MN 55042
Washington County (608) 658-1044

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 11020 39th St N Opco LLC's NPI number?

The NPI number for 11020 39th St N Opco LLC is 1801776679. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is 11020 39th St N Opco LLC located?

11020 39th St N Opco LLC is located at 11020 39th St N, Lake Elmo, MN 55042. The listed phone number is (612) 276-3877.

What is 11020 39th St N Opco 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 11020 39th St N Opco LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.