Organization · Type 2 NPI

SNH Viking Tenant LLC

Assisted Living Facility · Rogers, MN

NPI number 1740837749 Active

Practice location

20600 S Diamond Lake Rd
Rogers, MN 55374-4515

Call (763) 428-1981 Map

Fax (463) 428-3792

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

4 other providers at this address

Other assisted living facility providers in Rogers

Affinity Living Assistance CoAssisted Living Facility Rogers, MN NPI 1659244002

See all in Rogers →

NPI record

NPI: 1740837749
Entity type: Organization (Type 2)
Issued: Aug 23, 2019
Last updated: May 4, 2020
Status: Active
Subpart: Yes of SNH Viking Tenant LLC

Other names

The Wellstead of Rogers · doing business as

Authorized official

Jennifer F. Mintzer
President & Chief Operating Officer
(617) 796-8350

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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.

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About NPI 1740837749

SNH Viking Tenant LLC's National Provider Identifier is 1740837749, issued on Aug 23, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rogers, MN. The record was last updated on May 4, 2020.