Waterford Manor – Assisted Living Facility, NPI 1356686836

Waterford Manor is a healthcare provider. based in Brooklyn park, Minnesota. specializing in Assisted Living Facility. The NPI Number for Waterford Manor is 1356686836

Main info

Organization
Name
Waterford Manor
NPI
1356686836
Phone
(763) 537-3382
Address
6288 LOUISIANA CT N
Authorized Official
MARK MULLEN DIRECTOR OF STRATEGIC PARTNERSHIPS
Enumeration Date
10 December 2012
Last Update Date
27 April 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Waterford Manor

  • 6288 LOUISIANA CT N

    BROOKLYN PARK, MN 554282550

    Phone: (763) 537-3382

    Fax: (763) 535-2075

    Type: Location

  • 915 118TH AVE SE

    110

    BELLEVUE, WA 980053819

    Phone: (425) 559-6301

    Fax: (425) 559-6302

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55428)

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Reviews

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Frequently asked questions

Where can patients find Waterford Manor's NPI?
You can confirm Waterford Manor with NPI 1356686836; it appears in the national provider directory.
Is Waterford Manor's NPI currently valid?
The extract we use shows Waterford Manor as active.
What field does Waterford Manor work in?
You can think of Waterford Manor as practicing within Assisted Living Facility. Clinical services aligned with this taxonomy classification.
What location metadata exists for Waterford Manor?
The page summarizes Brooklyn Park, Minnesota for Waterford Manor; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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