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

Champlin Shores LLC

Organization Assisted Living Facility · NPI 1194845107

Champlin Shores LLC is an Assisted Living Facility in Champlin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 Hayden Lake Rd E
Champlin, MN 55316-1547
Phone: (763) 712-0118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 333870 (MN)

Record details

NPI number1194845107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Harder — Manager · (503) 485-4600
Other names Champlin Shores
NPI enumeratedMarch 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3723 Fairview Industrial Dr Se Ste 270, Salem, OR 97302-4975

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