Unknown Individual – Skilled Nursing Facility, NPI 1568460293

Unknown Individual is a healthcare provider. based in Roseville, Minnesota. specializing in Skilled Nursing Facility. They hold a License No. 328870 (MN). The NPI Number for Unknown Individual is 1568460293

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568460293
Phone
(651) 631-6200
Address
1910 COUNTY ROAD D W
Deactivation Date
14 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Langton Place, 1910, County Road D West, Roseville, Ramsey County, Minnesota, 55112, United States

    ROSEVILLE, MN 551123503

    Phone: (651) 631-6200

    Fax: (651) 631-6269

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 55112)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1568460293 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Roseville, Minnesota as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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