COVENTRY ASSISTED LIVING AND MEMORY CARE
NPI 1962776187
Home Health in Mahtomedi, MN

Active since March 06, 2012
720 MAHTOMEDI AVE, MAHTOMEDI, MN 55115(651) 528-8442(651) 756-8240 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coventry Assisted Living And Memory Care NPPES

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

COVENTRY ASSISTED LIVING AND MEMORY CARE (NPI 1962776187) is a healthcare organization registered as a home health in Mahtomedi, Minnesota and active in the NPI registry since March 2012. The organization lists Carleigh Sawyer, Housing Manager, as its authorized official.

NPPES Registry Identity

NPI1962776187
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOVENTRY SENIOR LIVING OF MAHTOMEDI, LLC
Location Address720 MAHTOMEDI AVEMahtomedi, MN 55115-1673
Mailing Address720 Mahtomedi AveMahtomedi, MN 55115-1673 · (651) 528-8442 · Fax (651) 756-8240
Fax(651) 756-8240
Organization SubpartYesParent: Senior Properties Of Mahtomedi, Llc
Authorized OfficialCarleigh SawyerHousing Manager · (651) 528-8442
Enumeration DateMarch 6, 2012
NPI 1962776187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MN · 355819
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
720 MAHTOMEDI AVE, Mahtomedi, MN 55115

Other Names 1

Doing Business AsCoventry Assisted Living And Memory Care

Other Providers at the Same Location NPPES

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

Assisted Living Facility
720 MAHTOMEDI AVE
SAINT PAUL, MN 55115

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 Coventry Senior Living Of Mahtomedi, LLC's NPI number?

The NPI number for Coventry Senior Living Of Mahtomedi, LLC is 1962776187. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Coventry Assisted Living And Memory Care.

Where is Coventry Senior Living Of Mahtomedi, LLC located?

Coventry Senior Living Of Mahtomedi, LLC is located at 720 Mahtomedi Ave, Mahtomedi, MN 55115. The listed phone number is (651) 528-8442.

What is Coventry Senior Living Of Mahtomedi, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Coventry Senior Living Of Mahtomedi, LLC was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.