Organization provider

MEMORY LANE ASSISTED LIVING

Assisted Living Facility In Home Supportive Care Agency Respite Care

MEMORY LANE ASSISTED LIVING is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114722097, based in Apple Valley, MN. The organization lists 3 taxonomy classifications, with Assisted Living Facility recorded as primary.

Getting there

The practice address on file is 15117 EMORY CIR, Apple Valley, MN 55124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15117 EMORY CIR, Apple Valley, MN 55124 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Assisted Living Facility covers

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. NUCC Health Care Provider Taxonomy, code 310400000X
Nursing & Custodial Care Facilities Assisted Living Facility

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
310400000X Assisted Living Facility primary
253Z00000X In Home Supportive Care Agency
385H00000X Respite Care

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1114722097 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 15, 2025
Last updatedFeb 15, 2025
StatusActive
Practice address 15117 EMORY CIR
Apple Valley, MN 55124
(612) 298-0555
This record was updated on Feb 15, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1114722097 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 7 2 2 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 5 2 4 0 9

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114722097?
NPI 1114722097 is the National Provider Identifier assigned to MEMORY LANE ASSISTED LIVING in Apple Valley, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Assisted Living Facility cover?
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
How do I contact MEMORY LANE ASSISTED LIVING?
The phone number on file with NPPES is (612) 298-0555, last updated Feb 15, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1114722097 a valid number?
Yes. 1114722097 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.