OrganizationActive
Prior Lake Ops LLC
NPI 1003292962 · Assisted Living Facility · Prior Lake, MN
Prior Lake Ops LLC is a Assisted Living Facility organization in Prior Lake, MN (NPI 1003292962).
Provider details
- NPI number
- 1003292962
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Novaczyk, President(952) 241-8204
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4685 Park Nicollet Ave Se
Prior Lake, MN 55372-3926
Phone: (952) 226-9200
Fax: (952) 226-9201
Approximate (ZIP-level) locationGet directions
Mailing address
7625 Golden Triangle Dr
Eden Prairie, MN 55344-3710
Other names (DBA / former)
- Doing business as
- Keystone Prior Lake
Registry dates
- Enumerated
- 2015-08-03
- Last updated
- 2015-08-03
Frequently asked questions
- What is Prior Lake Ops LLC's NPI number?
- Prior Lake Ops LLC's National Provider Identifier (NPI) is 1003292962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prior Lake Ops LLC?
- Prior Lake Ops LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Prior Lake Ops LLC located?
- Prior Lake Ops LLC's practice location on file with NPPES is 4685 Park Nicollet Ave Se, Prior Lake, MN 55372-3926.
- What is Prior Lake Ops LLC's phone number?
- The practice phone number listed in the NPPES registry for Prior Lake Ops LLC is (952) 226-9200.
- Who is the authorized official for Prior Lake Ops LLC?
- The authorized official listed on Prior Lake Ops LLC's NPPES record is Ryan Novaczyk, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prior Lake Ops LLC's NPI active?
- Yes — Prior Lake Ops LLC's NPI (1003292962) is active in the NPPES registry as of the last update on 2015-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.