Active NPI
Willows & Waters Senior Living
- Assisted Living Facility
- Rochester, MN
National Provider Identifier
1104192483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 354293
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2033280 | Willows & Waters Senior Living LLC | Certificate of waiver | Nov 28, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.