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

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

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

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2026, Nov 12, 2025 (2 updates tracked since 2025).

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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 Jon Tranby, Payer Relations Director, as its authorized official.

NPPES Registry Identity

NPI1811316326

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePSA HOUSING & ASSISTED LIVING

Location Address220 EAST AVEMahtomedi, MN 55115-2289

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

Phone(651) 264-3200

Organization SubpartNo

Authorized OfficialJon TranbyPayer Relations Director · (651) 631-6102

Enumeration DateApril 11, 2014

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ 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.

220 EAST AVE, Mahtomedi, MN 55115

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Other Names 1

Other NameSt Andrews Village

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 220 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 August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.