Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Phs Lake Minnetonka LLC

Skilled Nursing Facility in Spring Park, MN · enumerated 2006 · authorized official Mark Meyer, Cfo.

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

National Provider Identifier

1184737926

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Registry record

Entity type Organization (Type 2)

Legal business name Phs Lake Minnetonka LLC

Practice address 4515 Shoreline Dr, Spring Park, MN, 55384

Phone (952) 471-4001

Fax (651) 631-6449

Enumeration date Aug 16, 2006

Last updated in NPPES Nov 11, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Mark Meyer

Title Cfo

Phone (651) 631-6102

Other identifiers

Identifier	Type	State	Issuer
7122641	Other	-	MEDICA
22857	Other	-	HEALTH PARTNERS
172043100	Medicaid	MN	-
NH0041	Other	MN	UCARE
9625TW	Other	-	BCBS

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

Where is Phs Lake Minnetonka LLC located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-11-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-11.