NPIMap

Organization Active NPI

Volunteers of America Care Facilities

Doing business as Countryside Retirement Community

  • Assisted Living Facility
  • Sleepy Eye, MN
National Provider Identifier
1518377753
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VOLUNTEERS OF AMERICA CARE FACILITIES
Doing business as
Countryside Retirement Community
Practice address
1100 1St Ave S
Sleepy Eye, MN 56085-1856
Phone
(507) 794-3200
NPI assigned
Apr 28, 2014
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Nancy Gavin
Title
Assistant Secretary
Phone
(952) 941-0305

Specialties & licenses 1

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

Addresses

Primary practice location

1100 1St Ave S
Sleepy Eye, MN 56085-1856

Mailing address

7485 Office Ridge Cir
Eden Prairie, MN 55344-3690
Phone (952) 941-0305

Other names 1

  • Countryside Retirement Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley Manor Care Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1518377753",
    "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": "952-941-0305",
            "fax_number": "952-941-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 1ST AVE S",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851856",
            "telephone_number": "507-794-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA CARE FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-941-0305"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Countryside Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sleepy Eye, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.