OrganizationActive
Second Story LLC
NPI 1659213361 · Assisted Living Facility · Champlin, MN
Second Story LLC is a Assisted Living Facility organization in Champlin, MN (NPI 1659213361).
Provider details
- NPI number
- 1659213361
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mukhtar Dahir, Owner(763) 346-0311
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1013 W River Rd
Champlin, MN 55316-2002
Phone: (763) 346-0311
Street-level locationGet directions
Mailing address
5273 Oak Grove Pkwy N
Brooklyn Park, MN 55443-4401
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Frequently asked questions
- What is Second Story LLC's NPI number?
- Second Story LLC's National Provider Identifier (NPI) is 1659213361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Story LLC?
- Second Story LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Second Story LLC located?
- Second Story LLC's practice location on file with NPPES is 1013 W River Rd, Champlin, MN 55316-2002.
- What is Second Story LLC's phone number?
- The practice phone number listed in the NPPES registry for Second Story LLC is (763) 346-0311.
- Who is the authorized official for Second Story LLC?
- The authorized official listed on Second Story LLC's NPPES record is Mukhtar Dahir, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Story LLC's NPI active?
- Yes — Second Story LLC's NPI (1659213361) is active in the NPPES registry as of the last update on 2026-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.