PARK PLACE SENIOR LIVING, LLC – Assisted Living Facility, NPI 1942713102

PARK PLACE SENIOR LIVING, LLC is a healthcare provider. based in Owatonna, Minnesota. specializing in Assisted Living Facility. The NPI Number for PARK PLACE SENIOR LIVING, LLC is 1942713102

Main info

Organization
Name
PARK PLACE SENIOR LIVING, LLC
NPI
1942713102
Phone
(507) 451-0808
Address
125 E PARK ST
Authorized Official
DAVE VANDERGON CEO/ADMINISTRATOR
Enumeration Date
9 November 2017
Last Update Date
9 November 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for PARK PLACE SENIOR LIVING, LLC

  • 125, East Park Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550604067

    Phone: (507) 451-0808

    Type: Location

  • 1995, East Rum River Drive South, Pine Village Mobile Home Park, Cambridge, Isanti County, Minnesota, 55008, United States

    CAMBRIDGE, MN 550082656

    Phone:

    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.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 55060)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PARK PLACE SENIOR LIVING, LLC?
PARK PLACE SENIOR LIVING, LLC — NPI 1942713102 — is the standard way to identify this listing.
Does the file indicate PARK PLACE SENIOR LIVING, LLC is practicing under active NPI?
Directory data currently reports PARK PLACE SENIOR LIVING, LLC as active.
What is PARK PLACE SENIOR LIVING, LLC best known for clinically?
Directory data describes PARK PLACE SENIOR LIVING, LLC with Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Where should I expect PARK PLACE SENIOR LIVING, LLC on a map?
Expect Owatonna, Minnesota as a primary anchor for PARK PLACE SENIOR LIVING, LLC unless the record lists multiple sites.
Is the information about PARK PLACE SENIOR LIVING, LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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