Organization Active NPI

Tealwood Management, LLC

  • Assisted Living Facility
  • Bloomington, MN
National Provider Identifier
1235470907
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TEALWOOD MANAGEMENT, LLC
Practice address
7400 W 109TH St
Bloomington, MN 55438-2374
Phone
(952) 888-2923
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Howard Groff
Title
President/Owner
Phone
(952) 888-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7400 W 109TH St
Bloomington, MN 55438-2374

Mailing address

7400 W 109TH St
Bloomington, MN 55438-2374

National Provider Directory

National Provider Directory
Tax ID family
Arbor Oaks 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.

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1235470907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W 109TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W 109TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382374",
            "telephone_number": "952-888-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEALWOOD MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.