Organization Active NPI

Volunteers of America Assisted Living Communities

  • Assisted Living Facility
  • Minnetonka, MN
National Provider Identifier
1417617291
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES
Practice address
11400 4TH St N
Minnetonka, MN 55343-3603
Phone
(952) 283-2600
Fax
(952) 283-2606
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Nancy Gavin
Title
Ass'T Secretary
Phone
(612) 428-7840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11400 4TH St N
Minnetonka, MN 55343-3603

Mailing address

7485 Office Ridge Cir
Eden Prairie, MN 55344-3690
Phone (612) 428-7840

Other names 1

  • Elder Homestead Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elder Homestead2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1417617291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 OFFICE RIDGE CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443690",
            "telephone_number": "612-428-7840",
            "fax_number": "952-941-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 4TH ST N",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553433603",
            "telephone_number": "952-283-2600",
            "fax_number": "952-283-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASS'T SECRETARY",
        "authorized_official_telephone_number": "612-428-7840"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Homestead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.