Estates at St Louis Park LLC
NPI 1689112153ActiveOrganization· Skilled Nursing Facility· St Louis Park, MN
Skilled Nursing Facility in St Louis Park, Minnesota, registered in NPPES in February 2017. The authorized official on file is Joshua Legum, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1689112153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2017 |
| Last updated in NPPES | Feb 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MN) |
|---|
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