Garden Terrace Assisted Living, LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

332460 Issued in MN

Legal business name

GARDEN TERRACE ASSISTED LIVING, LTD

Practice address

426 Mason Dr
Wrenshall, MN 55797-9030

Phone

(218) 384-4623

Fax

(218) 384-4508

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By 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. Kelly Anne Laveau, R.N.

Title

President

Phone

(218) 384-4623

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346328648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MASON DR",
            "city": "WRENSHALL",
            "state": "MN",
            "postal_code": "557979030",
            "telephone_number": "218-384-4623",
            "fax_number": "218-384-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MASON DR",
            "city": "WRENSHALL",
            "state": "MN",
            "postal_code": "557979030",
            "telephone_number": "218-384-4623",
            "fax_number": "218-384-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN TERRACE ASSISTED LIVING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVEAU",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-384-4623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "332460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton-Wrenshall School District
• Jamie Frey
• Garden Terrace Assisted Living LLC (garden terrace home care)
• Garden Terrace Assisted Living LLC
• Sara Weik, CD (DONA)

• Assisted Living Facility in Wrenshall, MN
• Providers in Wrenshall, 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 Aug 22, 2020; 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.