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

Prime Living Mn LLC

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1376496612

Prime Living Mn LLC is an Assisted Living Facility (Behavioral Disturbances) in Eagan, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
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

2110 Wuthering Heights Rd
Eagan, MN 55122-1028
Phone: (443) 310-0126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1376496612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed I Mouhoumed — Owner · (443) 310-0126
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address2110 Wuthering Heights Rd, Eagan, MN 55122-1028

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