Phs/Lake Minnetonka, LLC
NPI 1679997480 · Assisted Living Facility · Spring Park, MN
Phs/Lake Minnetonka, LLC is a Assisted Living Facility organization in Spring Park, MN (NPI 1679997480).
Provider details
- NPI number
- 1679997480
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Meyer, Cfo(651) 631-6102
- License
- 357277 (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
12 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
Other names (DBA / former)
- Other name
- Lake Minnetonka Shores
Registry dates
- Enumerated
- 2014-02-13
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Frequently asked questions
- What is Phs/Lake Minnetonka, LLC's NPI number?
- Phs/Lake Minnetonka, LLC's National Provider Identifier (NPI) is 1679997480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs/Lake Minnetonka, LLC?
- Phs/Lake Minnetonka, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Phs/Lake Minnetonka, LLC located?
- Phs/Lake Minnetonka, LLC's practice location on file with NPPES is 4527 Shoreline Dr, Spring Park, MN 55384-8706.
- What is Phs/Lake Minnetonka, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phs/Lake Minnetonka, LLC is (952) 471-4000.
- Who is the authorized official for Phs/Lake Minnetonka, LLC?
- The authorized official listed on Phs/Lake Minnetonka, LLC's NPPES record is Mark Meyer, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs/Lake Minnetonka, LLC's NPI active?
- Yes — Phs/Lake Minnetonka, LLC's NPI (1679997480) is active in the NPPES registry as of the last update on 2025-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.