New Journey Residence, LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NEW JOURNEY RESIDENCE, LTD

Practice address

20371 Wendigo Park Rd
Grand Rapids, MN 55744-4675

Phone

(218) 326-6900

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Raad

Title

Secretary

Phone

(218) 326-6900

Specialties & licenses 1

Addresses

Other names 1

• Whispering Pines Assisted Living and Memory Care Doing business as

Tax ID family

New Journey Residence LTD2 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.

• New Journey Residence, LTD

  • Assisted Living Facility
  • Eveleth, MN
  • NPI 1730550047
  NPD tax ID

Locations

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1306185681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20371 WENDIGO PARK RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444675",
            "telephone_number": "218-326-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20371 WENDIGO PARK RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444675",
            "telephone_number": "218-326-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JOURNEY RESIDENCE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "218-326-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whispering Pines Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 7, 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.