Provider Demographics
NPI:1922795467
Name:ARDEN HILLS OPS, LLC
Entity Type:Organization
Organization Name:ARDEN HILLS OPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSOPUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-241-8211
Mailing Address - Street 1:5900 CLEARWATER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8961
Mailing Address - Country:US
Mailing Address - Phone:952-241-8211
Mailing Address - Fax:952-241-8232
Practice Address - Street 1:3565 PINE TREE DR
Practice Address - Street 2:
Practice Address - City:ARDEN HILLS
Practice Address - State:MN
Practice Address - Zip Code:55112
Practice Address - Country:US
Practice Address - Phone:651-504-8700
Practice Address - Fax:952-241-8232
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARDEN HILLS PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility