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Prairie Bluffs Senior Living Operations LLC

NPI 1740887090ActiveOrganization· Assisted Living Facility· Eden Prairie, MN

Assisted Living Facility in Eden Prairie, Minnesota, registered in NPPES in October 2020. The authorized official on file is Caryl Nordland, Controller.

Overview

NPI1740887090
StatusActive
Entity typeOrganization
NPI issuedOct 8, 2020
Last updated in NPPESOct 8, 2020
Certified by providerOct 8, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Assisted Living Facility providers in Eden Prairie

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