La Bonne Vie, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

330876 Issued in MN

Legal business name

LA BONNE VIE, INC.

Practice address

6443 Westchester Cir
Golden Valley, MN 55427-4966

Phone

(612) 735-8480

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Lisa Juntilla

Title

President

Phone

(612) 735-8480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093882730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 CEDARWOOD RDG",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053139",
            "telephone_number": "612-735-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 WESTCHESTER CIR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274966",
            "telephone_number": "612-735-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BONNE VIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNTILLA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-735-8480",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "330876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Kreuger, DDS
• Murali Krishnamurthy, MBBS, MSBE, MBA
• Barbara Levin Krupp, PH.D.
• Jessie L Kunz, CNM MSN
• Megan Elizabeth Kunz, LMFT
• Nicole B Laberge, PT
• Edward Labin, MD
• Laboratory Corporation of America Holdings
• Sheyam Ladwa, PHARMD, APH, BCACP
• Daniel Lawrence Lafontaine, PT

• 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 Aug 22, 2020; 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.