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

Prior Lake Ops LLC

Organization Assisted Living Facility · NPI 1003292962

Prior Lake Ops LLC is an Assisted Living Facility in Prior Lake, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
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

4685 Park Nicollet Ave SE
Prior Lake, MN 55372-3926
Phone: (952) 226-9200
Fax: (952) 226-9201
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 number1003292962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Novaczyk — President · (952) 241-8204
Other names Keystone Prior Lake
NPI enumeratedAugust 3, 2015
Last updated in NPPESAugust 3, 2015
Mailing address7625 Golden Triangle Dr, Suite T, Eden Prairie, MN 55344-3710

Other providers in Prior Lake