Walker Residence, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

330805 Issued in MN

Legal business name

WALKER RESIDENCE, INC.

Doing business as

Walker Place

Practice address

3701 Bryant Ave S
Minneapolis, MN 55409-1051

Phone

(612) 827-8500

Fax

(612) 827-8535

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Addresses

Other names 1

• Walker Place Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1346348612",
    "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": "3701 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091051",
            "telephone_number": "612-827-8500",
            "fax_number": "612-827-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER RESIDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "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": "330805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Walk, MD
• Walker Methodist Health Center, Inc.
• Walker Methodist Health Center, Inc.
• Walker Methodist Health Center, Inc.
• Walker Methodist Health Center, Inc.
• Walker Senior Housing Corporation V
• Ajah N Walker
• Alexandria Paige Walker
• Amerior Jonae Walker
• Anna Marie Walker, CPNP

• Assisted Living Facility in Minneapolis, MN
• Providers in Minneapolis, 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 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.