Organization · NPI-2

Phs Woodbury, INC

Assisted Living Facility · Woodbury, MN

NPI number1588088322
StatusActive
Last updated in NPPESAug 18, 2026

Details

NPI
1588088322
Entity type
Organization (NPI-2)
Legal business name
Phs Woodbury, INC
Organization subpart
No
Enumeration date
Feb 14, 2014
Certification date
Aug 18, 2026
Last updated
Aug 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility357275MNYes

Other names

  • Stonecrest (Other Name)

Practice location

8725 Promenade Ln
Woodbury, MN 55125-9622

Phone 651-264-3200

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127

Phone 651-631-6432 · Fax 651-631-6122

Authorized official

Jon Tranby
Payer Relations Director
6516316102

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