Ebenezer Lakes Assisted Living
NPI 1134441827 · Assisted Living Facility · Wyoming, MN
Ebenezer Lakes Assisted Living is a Assisted Living Facility organization in Wyoming, MN (NPI 1134441827).
Provider details
- NPI number
- 1134441827
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kari Wilson, Campus Manager(651) 982-6228
- License
- 345526 (MN)
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
16 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
Mailing address
Other names (DBA / former)
- Doing business as
- Meadows on Fairview
Registry dates
- Enumerated
- 2010-02-22
- Last updated
- 2010-02-22
Frequently asked questions
- What is Ebenezer Lakes Assisted Living's NPI number?
- Ebenezer Lakes Assisted Living's National Provider Identifier (NPI) is 1134441827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer Lakes Assisted Living?
- Ebenezer Lakes Assisted Living is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Ebenezer Lakes Assisted Living located?
- Ebenezer Lakes Assisted Living's practice location on file with NPPES is 25565 Fairview Ave, Wyoming, MN 55092-8053.
- What is Ebenezer Lakes Assisted Living's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer Lakes Assisted Living is (651) 982-6228.
- Who is the authorized official for Ebenezer Lakes Assisted Living?
- The authorized official listed on Ebenezer Lakes Assisted Living's NPPES record is Kari Wilson, Campus Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer Lakes Assisted Living's NPI active?
- Yes — Ebenezer Lakes Assisted Living's NPI (1134441827) is active in the NPPES registry as of the last update on 2010-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.