City of Walnut Grove

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

328746 Issued in MN

Legal business name

CITY OF WALNUT GROVE

Doing business as

Country View

Practice address

810 8TH St
Walnut Grove, MN 56180-1147

Phone

(952) 888-2923

NPI assigned

Apr 26, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howie Groff

Title

President

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Country View 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

City of Walnut Grove2 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.

• City of Walnut Grove

  • Land Ambulance
  • Walnut Grove, MN
  • NPI 1073675716
  NPD tax ID

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033176854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 8TH ST",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561801147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 8TH ST",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561801147",
            "telephone_number": "952-888-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WALNUT GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "328746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HWS",
            "identifier": "330322",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951496100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALHCP",
            "identifier": "328746",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lois E Boerboom, RN
• City of Walnut Grove
• Bruce James Mathiason, DDS
• Minnesota Senior Care, Inc.
• Proconcierge Nursing Service, LLC
• Sanford Health Network (Sanford Clinic Walnut Grove)

• Assisted Living Facility in Walnut Grove, MN
• Providers in Walnut Grove, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.