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Active NPI 1194376673 Organization (Entity Type 2)

Lcs Champlin Llc

Assisted Living Facility • Champlin, MN

About Lcs Champlin Llc NPI 1194376673 Summary

Lcs Champlin Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Champlin, MN. Located at 119 HAYDEN LAKE RD E, this facility provides patient care and medical services under National Provider Identifier (NPI) 1194376673.

Administrative operations and authorized compliance are overseen by Gelynna Shaw (Svp).

Facility Location & Contact Primary Location

Facility Address

119 Hayden Lake Rd E

Champlin, MN 553161547

Telephone 7637120118

Fax 7637120278

Authorized Official Information

Authorized Contact Name

Gelynna Shaw

Title / Role

Svp

Official Telephone

6153942187

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active September 25, 2019

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2019

Registered at 119 HAYDEN LAKE RD E, CHAMPLIN, MN 553161547 (Tel: 7637120118)

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Updated Business Mailing Address September 25, 2019

Registered at 119 HAYDEN LAKE RD E, CHAMPLIN, MN 553161547 (Tel: 7637120118)

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Organization / Clinic Name Updated September 25, 2019

Operating as LCS CHAMPLIN LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2019

Assisted Living Facility

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Initial NPI Registration & Enumeration September 25, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1194376673

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: September 25, 2019

Last Update: September 25, 2019

Update or Correct Listing

Mailing Address

119 Hayden Lake Rd E

Champlin, MN 553161547

Phone: 7637120118

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.