11020 39th St N Opco LLC
NPI 1801776679ActiveOrganization· Assisted Living Facility· Lake Elmo, MN
Assisted Living Facility in Lake Elmo, Minnesota, registered in NPPES in September 2025, part of Welltower Trs Holdco LLC. The authorized official on file is Kate Ryg, Clinical Reimbursement Manager.
Overview
| NPI | 1801776679 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Welltower Trs Holdco LLC |
| NPI issued | Sep 3, 2025 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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