Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
ROSEVILLE OPS LLC
Active
Organization
ROSEVILLE OPS LLC
Active
Other names
Keystone Roseville
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NOVACZYK (PRESIDENT)
(952) 241-8204
Entity
Organization
Contact information
Practice address
2750 VICTORIA ST N, ROSEVILLE, MN 55113-2094
(651) 482-1611
(651) 482-0429
Mailing address
7625 GOLDEN TRIANGLE DR, SUITE T, EDEN PRAIRIE, MN 55344-3710
(952) 241-8202
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up