Organization Active NPI

Walker Senior Housing Corporation IX

  • Assisted Living Facility
  • Saint Paul, MN
National Provider Identifier
1306942883
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
332180 Issued in MN
Legal business name
WALKER SENIOR HOUSING CORPORATION IX
Practice address
1 Thompson Ave W
Saint Paul, MN 55118-3100
Phone
(651) 455-3999
Fax
(651) 455-5962
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 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
Assisted Living Facility 310400000X 332180 MN Primary

Addresses

Primary practice location

1 Thompson Ave W
Saint Paul, MN 55118-3100

Mailing address

11055 Wayzata Blvd
Minnetonka, MN 55305-1573
Phone (320) 763-1164

Other names 1

  • Walker Methodist Westwood Ridge I Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1046029Walker Methodist Westwood Ridge I1 Thompson Avenue West, West Saint Paul, MN 55118Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1306942883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051573",
            "telephone_number": "320-763-1164",
            "fax_number": "612-827-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THOMPSON AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183100",
            "telephone_number": "651-455-3999",
            "fax_number": "651-455-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER SENIOR HOUSING CORPORATION IX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "332180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Methodist Westwood Ridge I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.