Healthcare Provider Details

I. General information

NPI: 1801704887
Provider Name (Legal Business Name): PLACE OF JOY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 NORWAY ST NW
COON RAPIDS MN
55448-2359
US

IV. Provider business mailing address

10542 WESTON WAY N
MAPLE GROVE MN
55369-4162
US

V. Phone/Fax

Practice location:
  • Phone: 612-860-2906
  • Fax:
Mailing address:
  • Phone: 612-860-2906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LUCY M CHARI
Title or Position: AUTHORIZED AGENT
Credential:
Phone: 612-860-2906