Colby Lake Care Home, Inc.
NPI 1396980017 · Adult Care Home Facility · Woodbury, MN
Colby Lake Care Home, Inc. is a Adult Care Home Facility organization in Woodbury, MN (NPI 1396980017).
Provider details
- NPI number
- 1396980017
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Vijwantie Sirju, Ceo/Owner(651) 230-5088
- License
- 1047414-2-AFC (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
17 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
Registry dates
- Enumerated
- 2008-12-09
- Last updated
- 2008-12-09
Frequently asked questions
- What is Colby Lake Care Home, Inc.'s NPI number?
- Colby Lake Care Home, Inc.'s National Provider Identifier (NPI) is 1396980017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colby Lake Care Home, Inc.?
- Colby Lake Care Home, Inc. is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Colby Lake Care Home, Inc. located?
- Colby Lake Care Home, Inc.'s practice location on file with NPPES is 9377 Newcastle Rd, Woodbury, MN 55125-3717.
- What is Colby Lake Care Home, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Colby Lake Care Home, Inc. is (651) 230-5088.
- Who is the authorized official for Colby Lake Care Home, Inc.?
- The authorized official listed on Colby Lake Care Home, Inc.'s NPPES record is Vijwantie Sirju, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colby Lake Care Home, Inc.'s NPI active?
- Yes — Colby Lake Care Home, Inc.'s NPI (1396980017) is active in the NPPES registry as of the last update on 2008-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.