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Prior Lake Ops LLC

Assisted Living Facility in Prior Lake, MN · enumerated 2015 · authorized official Ryan Novaczyk, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003292962

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Registry record

Entity type Organization (Type 2)
Legal business name Prior Lake Ops LLC
Other name <Unavail>
Practice address 4685 Park Nicollet Ave Se, Prior Lake, MN, 55372
Phone (952) 226-9200
Fax (952) 226-9201
Enumeration date Aug 3, 2015
Last updated in NPPES Aug 3, 2015

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Ryan Novaczyk
Title President
Phone (952) 241-8204

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Prior Lake Ops LLC located?
The practice location on file with NPPES is in Prior Lake, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-03. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-03.