Estates at Fridley LLC
NPI 1962940437 · Skilled Nursing Facility · Fridley, MN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Estates at Fridley LLC is a Skilled Nursing Facility organization in Fridley, MN (NPI 1962940437).
Provider details
- NPI number
- 1962940437
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joshua Legum, Ceo(507) 625-8741
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
9 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
Registry dates
- Enumerated
- 2017-02-05
- Last updated
- 2017-02-05
Frequently asked questions
- What is Estates at Fridley LLC's NPI number?
- Estates at Fridley LLC's National Provider Identifier (NPI) is 1962940437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Estates at Fridley LLC?
- Estates at Fridley LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Estates at Fridley LLC located?
- Estates at Fridley LLC's practice location on file with NPPES is 5700 E River Rd, Fridley, MN 55432-6149.
- What is Estates at Fridley LLC's phone number?
- The practice phone number listed in the NPPES registry for Estates at Fridley LLC is (763) 571-3150.
- Does Estates at Fridley LLC accept Medicare?
- Estates at Fridley LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Estates at Fridley LLC?
- The authorized official listed on Estates at Fridley LLC's NPPES record is Joshua Legum, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Estates at Fridley LLC's NPI active?
- Yes — Estates at Fridley LLC's NPI (1962940437) is active in the NPPES registry as of the last update on 2017-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.