OrganizationActive
Kindred Supports LLC
NPI 1669110953 · Assisted Living Facility · Prior Lake, MN
Provider details
- NPI number
- 1669110953
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anthony Gjorvad, Owner(612) 812-9786
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5554 Woodside Rd Se
Prior Lake, MN 55372-2044
Phone: (612) 810-9796
Street-level locationGet directions
Mailing address
4220 157th St W
Rosemount, MN 55068-4600
Other names (DBA / former)
- Doing business as
- Kindred Supports
- Doing business as
- Touching Lives Community
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.