Enriched Living Llc

LBN: Enriched Living Llc
Enriched Living Llc is an health care organization with primary practice located at 301 County Road E2 W , New Brighton MN 55112-6859. The organization recently has 5 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Enriched Living Llc can be contacted via phone (651) 505-6766, or through Johnson, Tryan via phone (612) 930-2265.

Contact Information

Primary practice address
301 County Road E2 W New Brighton MN 55112-6859
Phone: (651) 505-6766
Fax: (651) 846-5633
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tryan
Phone: (612) 930-2265

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1086810 Minnesota
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1780103929
LBN Legal business name Enriched Living Llc
DBA Doing business as
Authorized official Johnson, Tryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2017
Last updated Mar 20th, 2026 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780103929 NPPES
Minnesota MEDICAID 1086810

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