IndividualActive
Phouvieng Sivilay
NPI 1245012715 · Assisted Living Facility · Eden Prairie, MN
Phouvieng Sivilay is a Assisted Living Facility provider in Eden Prairie, MN (NPI 1245012715).
Provider details
- NPI number
- 1245012715
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 39902 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
10452 Spyglass Dr
Eden Prairie, MN 55347-4656
Phone: (612) 508-8743
Street-level locationGet directions
Mailing address
10428 Shelter Grv
Eden Prairie, MN 55347-4855
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Frequently asked questions
- What is Phouvieng Sivilay's NPI number?
- Phouvieng Sivilay's National Provider Identifier (NPI) is 1245012715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phouvieng Sivilay's specialty?
- Phouvieng Sivilay is listed in the NPPES registry with a primary specialty of Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Phouvieng Sivilay located?
- Phouvieng Sivilay's practice location on file with NPPES is 10452 Spyglass Dr, Eden Prairie, MN 55347-4656.
- What is Phouvieng Sivilay's phone number?
- The practice phone number listed in the NPPES registry for Phouvieng Sivilay is (612) 508-8743.
- Is Phouvieng Sivilay's NPI active?
- Yes — Phouvieng Sivilay's NPI (1245012715) is active in the NPPES registry as of the last update on 2023-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.