Assisted Living Concepts Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HFID204 Issued in MN

Legal business name

ASSISTED LIVING CONCEPTS INC

Doing business as

Country Villa

Practice address

7475 Country Club Drive
Golden Valley, MN 55427

Phone

(763) 512-1579

Fax

(763) 540-6899

NPI assigned

May 7, 2008

Last updated

May 7, 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

Walter A Levonowich

Title

Vice President Controller

Phone

(262) 257-8888

Specialties & licenses 1

Addresses

Other names 1

• Country Villa Doing business as

Tax ID family

Assisted Living Concepts Inc213 organizations share this tax ID, including this one

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1083880272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W140 N8981 LILLY ROAD",
            "address_2": "ATTN LEGAL DEPARTMENT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512325",
            "telephone_number": "262-257-8888",
            "fax_number": "262-251-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 COUNTRY CLUB DRIVE",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-512-1579",
            "fax_number": "763-540-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "LEVONOWICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT CONTROLLER",
        "authorized_official_telephone_number": "262-257-8888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HFID204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Alaina Arechigo, MSN, AGNP-C
• Michaela Arellano, MPS, LPCC, LADC
• Kyle Jamison Armon
• Erica Arndt, MA, LPCC
• Kara Lynn Arne, LPCC
• Seyed Amin Astani, MD, MBA
• At Home Healthcare LLC
• At Peace Hospice LLC
• Steven Atkinson, PA-C, MS
• Atlas Behavioral Service LLC

• Assisted Living Facility in Golden Valley, MN
• Providers in Golden Valley, 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 May 7, 2008; 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.