Plymouth Senior Housing, LLC
NPI 1174947824 · Assisted Living Facility · Plymouth, MN
Plymouth Senior Housing, LLC is a Assisted Living Facility organization in Plymouth, MN (NPI 1174947824).
Provider details
- NPI number
- 1174947824
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Meyer, Cfo(651) 631-6120
- License
- 357338 (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
12 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)
- Other name
- Summerwood of Plymouth
Registry dates
- Enumerated
- 2014-02-14
- Last updated
- 2014-02-14
Frequently asked questions
- What is Plymouth Senior Housing, LLC's NPI number?
- Plymouth Senior Housing, LLC's National Provider Identifier (NPI) is 1174947824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Plymouth Senior Housing, LLC?
- Plymouth Senior Housing, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Plymouth Senior Housing, LLC located?
- Plymouth Senior Housing, LLC's practice location on file with NPPES is 16205 36th Ave N, Plymouth, MN 55446-3374.
- What is Plymouth Senior Housing, LLC's phone number?
- The practice phone number listed in the NPPES registry for Plymouth Senior Housing, LLC is (763) 383-8888.
- Who is the authorized official for Plymouth Senior Housing, LLC?
- The authorized official listed on Plymouth Senior Housing, LLC's NPPES record is Mark Meyer, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Plymouth Senior Housing, LLC's NPI active?
- Yes — Plymouth Senior Housing, LLC's NPI (1174947824) is active in the NPPES registry as of the last update on 2014-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.