City of Norwood Young America

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

340456 Issued in MN

Legal business name

CITY OF NORWOOD YOUNG AMERICA

Doing business as

The Harbor at Peace Village

Practice address

300 Faxon Rd N
Norwood Young America, MN 55368-4549

Phone

(952) 467-9683

Fax

(952) 467-9684

NPI assigned

Jan 26, 2009

Last updated

Jan 26, 2009By 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

Laurie Hilgers

Title

Housing Manager

Phone

(952) 467-9683

Specialties & licenses 1

Addresses

Other names 1

• The Harbor at Peace Village 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

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1043458334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FAXON RD N",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553684549",
            "telephone_number": "952-467-9683",
            "fax_number": "952-467-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FAXON RD N",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553684549",
            "telephone_number": "952-467-9683",
            "fax_number": "952-467-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORWOOD YOUNG AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "HILGERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "HOUSING MANAGER",
        "authorized_official_telephone_number": "952-467-9683"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "340456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Harbor at Peace Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Amaro
• Richard Carlyle Axel, DDS
• Brooklin Bates, D.C.
• Leland Lane Brincefield, D.C.
• Logan Lee Brincefield, D.C.
• Allison Cruse, CCC-SLP
• Marielle Louise Gatenby, ATC
• Erin Rose Jensen
• Samantha Jones, DC
• Emily Koloc

• Assisted Living Facility in Norwood Young America, MN
• Providers in Norwood Young America, 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 Jan 26, 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.