Parkwood Senior Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

8015A Issued in ND

Legal business name

PARKWOOD SENIOR LIVING

Practice address

749 S 30TH St
Grand Forks, ND 58201-4084

Phone

(701) 780-2601

Fax

(701) 780-2626

NPI assigned

Apr 16, 2013

Last updated

Apr 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Butler

Title

Executive Director

Phone

(701) 780-2601

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1326481722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 S 30TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014084",
            "telephone_number": "701-780-2601",
            "fax_number": "701-780-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 S 30TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014084",
            "telephone_number": "701-780-2601",
            "fax_number": "701-780-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-780-2601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ND",
            "license": "34",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ND",
            "license": "8015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.