Champlin Shores LLC
NPI 1194845107ActiveOrganization· Assisted Living Facility· Champlin, MN
Assisted Living Facility in Champlin, Minnesota, registered in NPPES in March 2007. The authorized official on file is Jon Harder, Manager.
Overview
| NPI | 1194845107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 333870 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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