Provider Demographics
NPI:1770646366
Name:DAKOTA COMMUNITIES INC
Entity Type:Organization
Organization Name:DAKOTA COMMUNITIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-688-8808
Mailing Address - Street 1:680 ONEILL DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1535
Mailing Address - Country:US
Mailing Address - Phone:681-688-8808
Mailing Address - Fax:651-688-8892
Practice Address - Street 1:14850 75TH AVE N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-2624
Practice Address - Country:US
Practice Address - Phone:651-688-8808
Practice Address - Fax:651-688-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN808534-1-RS310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness