OrganizationActive
Coventry Senior Living of Mahtomedi, LLC
NPI 1962776187 · Home Health Agency · Mahtomedi, MN
Provider details
- NPI number
- 1962776187
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Parent organization
- Senior Properties of Mahtomedi, LLC
- Organization subpart
- Yes
- Authorized official
- Carleigh Sawyer, Housing Manager(651) 528-8442
- License
- 355819 (MN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
720 Mahtomedi Ave
Mahtomedi, MN 55115-1673
Phone: (651) 528-8442
Fax: (651) 756-8240
Street-level locationGet directions
Mailing address
720 Mahtomedi Ave
Mahtomedi, MN 55115-1673
Other names (DBA / former)
- Doing business as
- Coventry Assisted Living and Memory Care
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.