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

Colby Lake Care Home, Inc

Organization Adult Care Home Facility · NPI 1396980017

Colby Lake Care Home, Inc is an Adult Care Home Facility in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9377 Newcastle Rd
Woodbury, MN 55125-3717
Phone: (651) 230-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 1047414-2-AFC (MN)

Record details

NPI number1396980017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijwantie Sirju — Ceo/Owner · (651) 230-5088
NPI enumeratedDecember 9, 2008
Last updated in NPPESDecember 9, 2008
Mailing address9377 Newcastle Rd, Woodbury, MN 55125-3717