Organization Active NPI

Aspen Grove Properties

  • Assisted Living Facility
  • Chisholm, MN
National Provider Identifier
1043777469
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASPEN GROVE PROPERTIES
Practice address
504 Iron Dr
Chisholm, MN 55719-1989
Phone
(218) 254-2750
Fax
(218) 254-0164
NPI assigned
Feb 21, 2019
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Mr. Charles Adam Gargano Jr.
Title
Cfo
Phone
(218) 966-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

504 Iron Dr
Chisholm, MN 55719-1989

Mailing address

504 Iron Dr
Chisholm, MN 55719-1989
Phone (218) 254-2750

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2236284Aspen Grove Properties504 Iron Dr, Chisholm, MN 55719Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

504 Iron Dr
Chisholm, MN 55719
Phone (218) 254-2750

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1043777469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 IRON DR",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191989",
            "telephone_number": "218-254-2750",
            "fax_number": "218-254-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 IRON DR",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191989",
            "telephone_number": "218-254-2750",
            "fax_number": "218-254-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN GROVE PROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "GARGANO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-966-6480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisholm, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.