Memory Lane Assisted Living

LBN: Memory Lane Assisted Living
Memory Lane Assisted Living is an health care organization with primary practice located at 15117 Emory Cir , Apple Valley MN 55124-1808. The organization recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Memory Lane Assisted Living can be contacted via phone (612) 298-0555, or through Hirsi, Abdiasis via phone (612) 298-0555.

Contact Information

Primary practice address
15117 Emory Cir Apple Valley MN 55124-1808
Phone: (612) 298-0555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hirsi, Abdiasis
Phone: (612) 298-0555

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1114722097
LBN Legal business name Memory Lane Assisted Living
DBA Doing business as
Authorized official Hirsi, Abdiasis
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2025
Last updated Feb 15th, 2025 - about last year

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.

Request for update

Popular Providers