Organization Active NPI

Walker Community Services, Inc.

  • Home Health Agency
  • Minnetonka, MN
National Provider Identifier
1114939030
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
330805 Issued in MN
Legal business name
WALKER COMMUNITY SERVICES, INC.
Practice address
11055 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1573
Phone
(612) 827-5931
Fax
(612) 827-8458
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 330805 MN Primary

Addresses

Primary practice location

11055 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1573

Mailing address

2209 Jefferson St Ste 201
Alexandria, MN 56308-2848
Phone (320) 763-1164

Other identifiers 1

IdentifierTypeStateIssuer
902255400MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728000944 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476956400 Receives reassigned benefits from 1 practitioner
Practice locations: West Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

61 Thompson Ave W
Ste 200
West Saint Paul, MN 55118
Phone (612) 827-8510

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1114939030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 JEFFERSON ST STE 201",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082848",
            "telephone_number": "320-763-1164",
            "fax_number": "320-759-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 WAYZATA BLVD STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051573",
            "telephone_number": "612-827-5931",
            "fax_number": "612-827-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "330805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902255400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.