Organization Active NPI

Willows & Waters Senior Living

  • Assisted Living Facility
  • Rochester, MN
National Provider Identifier
1104192483
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
354293 Issued in MN
Legal business name
WILLOWS & WATERS SENIOR LIVING
Practice address
707 Upper Meadow LN NW
Rochester, MN 55901-8654
Phone
(507) 288-0593
Fax
(651) 286-3108
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mrs. April Dawn Christensen
Title
Owner
Phone
(507) 288-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 354293 MN Primary

Addresses

Primary practice location

707 Upper Meadow LN NW
Rochester, MN 55901-8654

Mailing address

707 Upper Meadow LN NW
Rochester, MN 55901-8654
Phone (507) 288-0593

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
24D2033280Willows & Waters Senior Living LLC707 Upper Meadow Lane NW, Rochester, MN 55901Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1104192483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 UPPER MEADOW LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018654",
            "telephone_number": "507-288-0593",
            "fax_number": "651-286-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 UPPER MEADOW LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018654",
            "telephone_number": "507-288-0593",
            "fax_number": "651-286-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWS & WATERS SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-288-0593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "354293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.