Provider Demographics
NPI:1093608978
Name:ARDEN HOMES LLC
Entity type:Organization
Organization Name:ARDEN HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/LALD
Authorized Official - Prefix:
Authorized Official - First Name:JOSLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, PHN
Authorized Official - Phone:612-223-2774
Mailing Address - Street 1:3301 62ND AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2618
Mailing Address - Country:US
Mailing Address - Phone:612-223-2774
Mailing Address - Fax:
Practice Address - Street 1:3301 62ND AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2618
Practice Address - Country:US
Practice Address - Phone:612-223-2774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility