Healthcare Provider Details

I. General information

NPI: 1841153640
Provider Name (Legal Business Name): A PLEASANT SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BRAND AVE
FARIBAULT MN
55021-6458
US

IV. Provider business mailing address

550 E DEVON AVE STE 110
ITASCA IL
60143-2637
US

V. Phone/Fax

Practice location:
  • Phone: 507-333-5960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: HARDIK PATEL
Title or Position: MEMBER
Credential:
Phone: 224-388-1439