# PHS/CHANHASSEN,INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUMMERWOOD OF CHANHASSEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114343332
- **Authorized official:** JON TRANBY (PAYER RELATIONS DIRECTOR)
- **Authorized official phone:** (651) 631-6102

## Contact information

- **Practice address:** 525 LAKE DR, CHANHASSEN, MN 55317-8364
- **Practice address phone:** (952) 294-5500
- **Mailing address:** 2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
- **Mailing address phone:** (651) 631-6432
- **Mailing address fax:** (651) 631-6122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 358746 | MN | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 08/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A697445000 | UMPI | MN |