Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Colby Lake Care Home, Inc.

Adult Care Home Facility in Woodbury, MN · enumerated 2008 · authorized official Vijwantie Sirju, Ceo/Owner.

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

National Provider Identifier

1396980017

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Registry record

Entity type Organization (Type 2)

Legal business name Colby Lake Care Home, Inc.

Practice address 9377 Newcastle Rd, Woodbury, MN, 55125

Phone (651) 230-5088

Enumeration date Dec 9, 2008

Last updated in NPPES Dec 9, 2008

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License 1047414-2-AFC (MN) Primary

Authorized official

Name Vijwantie Sirju

Title Ceo/Owner

Phone (651) 230-5088

Other identifiers

Identifier	Type	State	Issuer
A814673100	Medicaid	MN	-

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 2008-12-09. Verify at npiregistry.cms.hhs.gov.

Where is Colby Lake Care Home, Inc. located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-09.