Provider Demographics
NPI:1447938295
Name:BURNSVILLE CAREFREE LIVING
Entity type:Organization
Organization Name:BURNSVILLE CAREFREE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT OF OPERATI
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:HANSON
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-451-0569
Mailing Address - Street 1:6205 CROSSMAN LN
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-1852
Mailing Address - Country:US
Mailing Address - Phone:651-451-0569
Mailing Address - Fax:
Practice Address - Street 1:600 E NICOLLET BLVD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6739
Practice Address - Country:US
Practice Address - Phone:952-892-5559
Practice Address - Fax:952-892-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility