New Western Manor Company Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

381474 Issued in MN

Legal business name

NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP

Doing business as

Autumn Glen Senior Living

Practice address

3715 Coon Rapids Blvd NW
Coon Rapids, MN 55433

Phone

(763) 772-4492

NPI assigned

Apr 10, 2018

Last updated

Jun 19, 2018By 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

James A Weichert

Title

Director of General Partner

Phone

(952) 361-8000

Specialties & licenses 1

Addresses

Other names 1

• Autumn Glen Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Autumn Glen Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Western Manor Company Limited Partnership

  dba Billings Health & Rehabilitation

  • Long Term Care Pharmacy
  • Billings, MT
  • NPI 1023175452
  NPD tax ID

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1104323773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD STE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181070",
            "telephone_number": "612-618-1682",
            "fax_number": "952-361-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-772-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-361-8000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "381474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Glen Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori K Nelson, NP
• Tawny Nelson
• Lisa Nemitz
• Sara Ness, DPT
• Kevin Nevonen, PA-C
• Hannah K. Newcomb, PA-C
• Kristen M Neyers, RN
• Tyrolt A Ngole, CNP, PMHNP
• Michelle Nguyen-Degerman, DPT
• Amie Quynh-Anh Nguyen

• Assisted Living Facility in Coon Rapids, MN
• Providers in Coon Rapids, 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 19, 2018; 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.