NPIMap

Organization Active NPI

St. Luke's Northern Lights Villa LLC

  • Assisted Living Facility
  • Crosby, ND
National Provider Identifier
1447165972
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ST. LUKE'S NORTHERN LIGHTS VILLA LLC
Practice address
608 McAnders St SW
Crosby, ND 58730-3322
Phone
(701) 965-6384
NPI assigned
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LUKE'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Megan Ganskop
Title
Cfo
Phone
(701) 965-6384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

608 McAnders St SW
Crosby, ND 58730-3322

Mailing address

702 1St St SW
PO Box 10
Crosby, ND 58730-3329
Phone (701) 965-6384

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1447165972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 1ST ST SW",
            "address_2": "PO BOX 10",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587303329",
            "telephone_number": "701-965-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MCANDERS ST SW",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587303322",
            "telephone_number": "701-965-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S NORTHERN LIGHTS VILLA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S HOSPITAL",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "GANSKOP",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-965-6384"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.