4685 Park Nicollet Avenue Opco LLC
NPI 1093604456 · Assisted Living Facility · Prior Lake, MN
4685 Park Nicollet Avenue Opco LLC is a Assisted Living Facility organization in Prior Lake, MN (NPI 1093604456).
Provider details
- NPI number
- 1093604456
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Welltower Trs Holdco LLC
- Organization subpart
- Yes
- Authorized official
- Kate Ryg, Clinical Reimbursement Manager(763) 486-9187
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Frequently asked questions
- What is 4685 Park Nicollet Avenue Opco LLC's NPI number?
- 4685 Park Nicollet Avenue Opco LLC's National Provider Identifier (NPI) is 1093604456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 4685 Park Nicollet Avenue Opco LLC?
- 4685 Park Nicollet Avenue Opco LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 4685 Park Nicollet Avenue Opco LLC located?
- 4685 Park Nicollet Avenue Opco LLC's practice location on file with NPPES is 4685 Park Nicollet Ave Se, Prior Lake, MN 55372-3926.
- What is 4685 Park Nicollet Avenue Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 4685 Park Nicollet Avenue Opco LLC is (952) 226-9200.
- Who is the authorized official for 4685 Park Nicollet Avenue Opco LLC?
- The authorized official listed on 4685 Park Nicollet Avenue Opco LLC's NPPES record is Kate Ryg, Clinical Reimbursement Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 4685 Park Nicollet Avenue Opco LLC's NPI active?
- Yes — 4685 Park Nicollet Avenue Opco LLC's NPI (1093604456) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.