NPIMap

Organization Active NPI

Northwoods Villa Inc. 2

  • Assisted Living Facility
  • Grand Rapids, MN
National Provider Identifier
1023587227
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTHWOODS VILLA INC. 2
Practice address
1200 Gunn Rd
Grand Rapids, MN 55744-9212
Phone
(218) 327-1919
NPI assigned
Nov 16, 2018
Organization subpart
Yes
Parent organization
NORTHWOODS VILLA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Hillary Johnson
Title
RN/Coordinator
Phone
(218) 999-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1200 Gunn Rd
Grand Rapids, MN 55744-9212

Mailing address

1200 Gunn Rd
Grand Rapids, MN 55744-9212

National Provider Directory

National Provider Directory
Tax ID family
Northwoods Villa Inc 26 organizations share this tax ID, including this one
Part of
Northwoods Villa Inc 2

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1023587227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GUNN RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GUNN RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449212",
            "telephone_number": "218-327-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS VILLA INC. 2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWOODS VILLA INC.",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "RN/COORDINATOR",
        "authorized_official_telephone_number": "218-999-4644"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.