Arbor Park Village, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

343693 Issued in MN

Legal business name

ARBOR PARK VILLAGE, LLC

Practice address

520 28TH St N
Moorhead, MN 56560-2441

Phone

(218) 359-9999

Fax

(218) 359-0890

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Susan Bala, CEO

Title

President

Phone

(218) 359-9999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1073749040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 28TH ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602441",
            "telephone_number": "218-359-9999",
            "fax_number": "218-359-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 28TH ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602441",
            "telephone_number": "218-359-9999",
            "fax_number": "218-359-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PARK VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "BALA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-359-9999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "343693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Moorhead, MN
• Providers in Moorhead, 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 4, 2009; 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.