Organization · Type 2 NPI

Seniors Care Services LLC

Adult Health Nurse Practitioner · Spring Park, MN

NPI number 1467865634 Active

Practice location

4142 Shoreline Dr
Spring Park, MN 55384-9629

Call (800) 753-9972 Map

Mailing address

4008 Shoreline Dr
Spring Park, MN 55384-9656

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	None listed

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

Golden CarePrimary Care Clinic/Center Spring Park, MN NPI 1750080883
Golden Care PLLCInternal Medicine Physician Spring Park, MN NPI 1598480832
Healthy Miles LLCInternal Medicine Physician Spring Park, MN NPI 1831812239
Population Health Management PCPrimary Care Clinic/Center Spring Park, MN NPI 1306518303

NPI record

NPI: 1467865634
Entity type: Organization (Type 2)
Issued: Jun 5, 2014
Last updated: Oct 10, 2026
Status: Active

Other names

<unavail>
Population Health Management, LLC · former legal business name
Tonka Medical Association, LLC · former legal business name
Tonka Medical Association, LLC · former legal business name

Authorized official

Mr. Damon R Kenton, PhD
CEO
(866) 305-0622

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1467865634

Seniors Care Services LLC's National Provider Identifier is 1467865634, issued on Jun 5, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Spring Park, MN. The record was last updated on Oct 10, 2026.