Individual provider Active NPI

Cheryl Heikkila

  • Assisted Living Facility
  • Grand Rapids, MN
National Provider Identifier
1225428048
Registry record updated Feb 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
370000 Issued in MN
Practice address
2304 McKinney Lake Rd
Grand Rapids, MN 55744-4323
Phone
(218) 326-2226
NPI assigned
Feb 1, 2015
Last updated
Feb 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 371581 MN
Assisted Living Facility 310400000X 370000 MN Primary
Adult Care Home Facility 311ZA0620X 1053221-2-AFC MN

Addresses

Primary practice location

2304 McKinney Lake Rd
Grand Rapids, MN 55744-4323

Mailing address

12225 W Savanna Rd
Floodwood, MN 55736-8229
Phone (218) 326-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
370000MNMDAssisted Living Facility
371581MNMDAssisted Living Facility
1053221-2-AFCMNMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Heikkila Assisted Living, Inc Assisted Living Facility Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1225428048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 W SAVANNA RD",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "557368229",
            "telephone_number": "218-326-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 MCKINNEY LAKE RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444323",
            "telephone_number": "218-326-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKKILA",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "371581",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "370000",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1053221-2-AFC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.