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

Loon Lake Living Care Inc

Organization Home Health Agency · NPI 1508666983

Loon Lake Living Care Inc is a Home Health Agency in Saint Louis Park, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

400 Ford Rd Apt 215
Saint Louis Park, MN 55426-1012
Phone: (615) 308-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1508666983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dek Haji — Manager · (615) 308-2668
Other names Loon Lake Living Care Inc
NPI enumeratedMarch 15, 2025
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025
Mailing address400 Ford Rd Apt 215, Saint Louis Park, MN 55426-1012

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