Walker Senior Housing Corporation III

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

332179 Issued in MN

Legal business name

WALKER SENIOR HOUSING CORPORATION III

Doing business as

Walker Plaza

Practice address

131 Monroe St
Anoka, MN 55303-2484

Phone

(763) 422-4037

Fax

(763) 422-8115

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Marnie Marie Gugisberg

Title

Cfo

Phone

(320) 763-1164

Specialties & licenses 1

Addresses

Other names 1

• Walker Plaza 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

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1114023686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 WAYZATA BLVD STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051573",
            "telephone_number": "320-763-1164",
            "fax_number": "612-827-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MONROE ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032484",
            "telephone_number": "763-422-4037",
            "fax_number": "763-422-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER SENIOR HOUSING CORPORATION III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GUGISBERG",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-763-1164"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "332179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Koob Ntsas Vue, DIPLOMAS, DEGREE
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• Savannah Walter
• Nicole T. Ward, PSYD, LP
• Anna Kirsten Warnes, APRN-NP
• Audrey Patricia Warrus, MA LP & LMFT

• Assisted Living Facility in Anoka, MN
• Providers in Anoka, 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, 2024; 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.