Villa Court LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

343408 Issued in MN

Legal business name

VILLA COURT LLC

Practice address

1220 Villa Court Drive
Cromwell, MN 55726-0000

Phone

(218) 644-3331

Fax

(218) 644-3505

NPI assigned

Feb 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie R Peterson

Title

Administrator

Phone

(218) 644-3331

Specialties & licenses 1

Addresses

Other names 1

• Cardinal Court and Villa Vista Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cardinal Court and Villa Vista2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Villa Court LLC

  • Nursing Facility/Intermediate Care Facility
  • Cromwell, MN
  • NPI 1982889127
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1003056706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 VILLA COURT DRIVE",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "557260000",
            "telephone_number": "218-644-3331",
            "fax_number": "218-644-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VILLA COURT DRIVE",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "557260000",
            "telephone_number": "218-644-3331",
            "fax_number": "218-644-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA COURT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-644-3331"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "343408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Court and Villa Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cromwell Medical Clinic PLLC
• Cromwell Wright Area Fire District
• Gateway Family Health Clinic, LTD.
• Kelly J. Goeb, M.D.
• Marcia Lillian Pocernich, PT
• Villa Court LLC
• Villa Home Care LLC
• Villa Vista, Inc.

• All providers in Cromwell, MN
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.