Champlin Shores LLC

Champlin Shores LLC is a healthcare organization registered as Assisted Living Facility in Champlin, MN, holding Type 2 (organization) NPI 1194845107 since 2007. The authorized official on file is Jon Harder, Manager.

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NPI	1194845107
Entity type	Organization (Type 2)
Legal business name	Champlin Shores LLC
Other name	<Unavail>
Practice address	119 HAYDEN LAKE RD E, Champlin, MN, 55316
Phone	7637120118
Enumeration date	2007-03-31
Last updated in NPPES	2020-08-22

Authorized official

Name	Jon Harder
Title	Manager
Phone	5034854600

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
310400000X	Assisted Living Facility	Primary	333870	MN

Copy-ready billing details

Provider: Champlin Shores LLC
NPI: 1194845107
Taxonomy: 310400000X (Assisted Living Facility)
Address: 119 HAYDEN LAKE RD E, Champlin, MN, 55316

Providers at this address

NPI	Name	Type	Specialty	Location
1992019244	Emeritus Corporation	Organization	Assisted Living Facility	Champlin, MN
1194376673	Lcs Champlin LLC	Organization	Assisted Living Facility	Champlin, MN

Verify this record

Cross-check NPI 1194845107 against the authoritative CMS record: view Champlin Shores LLC on the official NPPES registry .

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 or validate an NPI number.

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 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Champlin Shores LLC located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.