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NPI · 1114722097 · NPPES-sourced

Memory Lane Assisted Living

ActiveAssisted Living Facility
NPI Number
1114722097
Type 2 · Organisation
Taxonomy Code
310400000X
Contact
(612) 298-0555
Primary practice line
Last Updated
Enumerated
Primary practice addressMN · 55124-1808
15117 Emory CirApple Valley, MN 55124-1808
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About this NPIWhat this record shows.

NPI 1114722097 is registered to Memory Lane Assisted Living, a healthcare organisation classified as "Assisted Living Facility" and located at 15117 Emory Cir in Apple Valley, Minnesota. The organisation's authorised official is Abdiasis Hirsi. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Memory Lane Assisted Living accepts. To confirm in-network status with your specific health plan, contact Memory Lane Assisted Living directly at (612) 298-0555.

Frequently asked

Yes. NPI 1114722097 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Assisted Living Facility is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (612) 298-0555.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Memory Lane Assisted Living is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy310400000X
Last updated
Enumerated
StatusActive
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