PSA HOUSING & ASSISTED LIVING
NPI 1811316326
Assisted Living Facility in Mahtomedi, MN

Q: What is Psa Housing & Assisted Living's NPI number?

The NPI number for Psa Housing & Assisted Living is 1811316326. It was assigned to this organization in the NPPES registry on April 11, 2014. The provider is also known as St Andrews Village.

Q: What is Psa Housing & Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 11, 2014

240 EAST AVE, MAHTOMEDI, MN 55115(651) 264-3200 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Psa Housing & Assisted Living NPPES

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

PSA HOUSING & ASSISTED LIVING (NPI 1811316326) is a healthcare organization registered as an assisted living facility in Mahtomedi, Minnesota and active in the NPI registry since April 2014. The organization lists Mark Myer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811316326

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePSA HOUSING & ASSISTED LIVING

Location Address240 EAST AVEMahtomedi, MN 55115-2279

Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6432 · Fax (651) 631-6122

Phone(651) 264-3200

Organization SubpartNo

Authorized OfficialMark MyerCfo · (651) 631-6102

Enumeration DateApril 11, 2014

Last NPPES UpdateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1811316326 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.

240 EAST AVE, Mahtomedi, MN 55115

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Other Names 1

Other NameSt Andrews Village

Other Providers at the Same Location NPPES 2

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

OPTAGE INC

Clinic/Center (Rehabilitation)

240 EAST AVE
MAHTOMEDI, MN 55115

Washington County (651) 631-6570

ANDREA FINCH

Occupational Therapist

240 EAST AVE
MAHTOMEDI, MN 55115

Washington County (651) 762-4292

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 Psa Housing & Assisted Living's NPI number?

The NPI number for Psa Housing & Assisted Living is 1811316326. It was assigned to this organization in the NPPES registry on April 11, 2014. The provider is also known as St Andrews Village.

Where is Psa Housing & Assisted Living located?

Psa Housing & Assisted Living is located at 240 East Ave, Mahtomedi, MN 55115. The listed phone number is (651) 264-3200.

What is Psa Housing & Assisted Living'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 Psa Housing & Assisted Living was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.