NPIMap

Organization Active NPI

Northwoods Villa Inc.

  • Home Health Agency
  • Grand Rapids, MN
National Provider Identifier
1366021453
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHWOODS VILLA INC.
Practice address
1212 Gunn Rd
Grand Rapids, MN 55744-9212
Phone
(218) 999-5513
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Hillary D Altenhofen
Title
Owner
Phone
(218) 244-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1212 Gunn Rd
Grand Rapids, MN 55744-9212

Mailing address

1212 Gunn Rd
Grand Rapids, MN 55744-9212
Phone (218) 999-5513

National Provider Directory

National Provider Directory
Tax ID family
Northwoods Villa Inc 26 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1366021453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GUNN RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449212",
            "telephone_number": "218-999-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GUNN RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449212",
            "telephone_number": "218-999-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "ALTENHOFEN",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-244-8731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.