Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

11020 39th St N Opco LLC

Organization Assisted Living Facility · NPI 1801776679

11020 39th St N Opco LLC is an Assisted Living Facility in Lake Elmo, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11020 39th St N
Lake Elmo, MN 55042-9668
Phone: (612) 276-3877
Fax: (612) 360-2331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1801776679
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWelltower Trs Holdco LLC
Authorized official Kate Ryg — Clinical Reimbursement Manager · (763) 486-9187
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address5900 Clearwater Dr Ste 500, Minnetonka, MN 55343-8961

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