Shp V Wslg Plymouth LLC
NPI 1538738778ActiveOrganization· Assisted Living Facility· Plymouth, MN
Assisted Living Facility in Plymouth, Minnesota, registered in NPPES in June 2021. The authorized official on file is Steven Blazejewski, President.
Overview
| NPI | 1538738778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2021 |
| Last updated in NPPES | Jun 22, 2021 |
| Certified by provider | Jun 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
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 |
|---|
Other Assisted Living Facility providers in Plymouth
- 1720884596
- 1720144363
- 1518955277
- 1679401046
- 1164863395
- 1104221605
- 1376292086
- 1841403490
- 1790998334
- 1174947824
- 1811878671
- 1073493532