The Emeralds at Grand Rapids Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE EMERALDS AT GRAND RAPIDS ASSISTED LIVING LLC

Practice address

2815 S Highway 169
Grand Rapids, MN 55744-9532

Phone

(218) 326-8567

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Josh Legum

Title

Ceo

Phone

(507) 203-1001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1285290197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD STE 208",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859",
            "telephone_number": "507-203-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S HIGHWAY 169",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449532",
            "telephone_number": "218-326-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMERALDS AT GRAND RAPIDS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-203-1001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Teeters
• Ellen S Teigland, MS, APRN, BC, LP
• Jennifer Tellefson
• The Duluth Clinic LTD
• The Duluth Clinic LTD
• The Emeralds at Grand Rapids LLC
• The Rock HHC Inc.
• Jean Thom, NP
• Thomas Counseling and Wellness Center LLC
• Angela Dawn Thomas, MA, LPCC, LADC

• Assisted Living Facility in Grand Rapids, MN
• Providers in Grand 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 May 15, 2019; 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.