Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medicine Lake Manor

Assisted Living Facility in Plymouth, MN · enumerated 2014 · authorized official Alla Vaynberg, President/Ceo.

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

National Provider Identifier

1104221605

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Medicine Lake Manor

Practice address 10230 28th Ave N, Plymouth, MN, 55441

Phone (763) 546-4017

Enumeration date Oct 27, 2014

Last updated in NPPES Oct 27, 2014

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 370431 (MN) Primary

Authorized official

Name Alla Vaynberg

Title President/Ceo

Phone (763) 546-4017

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-27. Verify at npiregistry.cms.hhs.gov.

Where is Medicine Lake Manor located?

The practice location on file with NPPES is in Plymouth, MN.

Providers at this address

Browse all →

Alla Vaynberg Durable Medical Equipment & Medical Supplies · Plymouth, MN NPI 1902039076 Viewpoint Healthcare Services LLC Assisted Living Facility · Plymouth, MN NPI 1285503870

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-27.