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Ebenezer Lakes Assisted Living

Skilled Nursing Facility in Wyoming, MN · enumerated 2013 · authorized official Kari Wilson, Campus Director.

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

National Provider Identifier

1679916571

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Lakes Assisted Living
Other name <Unavail>
Practice address 25565 Fairview Ave, Wyoming, MN, 55092
Phone (651) 982-6228
Fax (651) 466-0714
Enumeration date Apr 10, 2013
Last updated in NPPES Dec 30, 2016

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kari Wilson
Title Campus Director
Phone (651) 982-6228

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

What type of organization is Ebenezer Lakes Assisted Living?
Ebenezer Lakes Assisted Living is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-30.