OrganizationActive
Loon Lake Living Care Inc
NPI 1508666983 · Home Health Agency · Saint Louis Park, MN
Loon Lake Living Care Inc is a Home Health Agency organization in Saint Louis Park, MN (NPI 1508666983).
Provider details
- NPI number
- 1508666983
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dek Haji, Manager(615) 308-2668
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
400 Ford Rd Apt 215
Saint Louis Park, MN 55426-1012
Phone: (615) 308-2668
Street-level locationGet directions
Mailing address
400 Ford Rd Apt 215
Saint Louis Park, MN 55426-1012
Other names (DBA / former)
- Doing business as
- Loon Lake Living Care Inc
Registry dates
- Enumerated
- 2025-03-15
- Last updated
- 2025-03-15
- Certified
- 2025-03-15
Frequently asked questions
- What is Loon Lake Living Care Inc's NPI number?
- Loon Lake Living Care Inc's National Provider Identifier (NPI) is 1508666983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Loon Lake Living Care Inc?
- Loon Lake Living Care Inc is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Loon Lake Living Care Inc located?
- Loon Lake Living Care Inc's practice location on file with NPPES is 400 Ford Rd Apt 215, Saint Louis Park, MN 55426-1012.
- What is Loon Lake Living Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Loon Lake Living Care Inc is (615) 308-2668.
- Who is the authorized official for Loon Lake Living Care Inc?
- The authorized official listed on Loon Lake Living Care Inc's NPPES record is Dek Haji, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Loon Lake Living Care Inc's NPI active?
- Yes — Loon Lake Living Care Inc's NPI (1508666983) is active in the NPPES registry as of the last update on 2025-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.