Park Gardens of Fergus Falls, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARK GARDENS OF FERGUS FALLS, LLC

Practice address

215 Skogmo Blvd
Fergus Falls, MN 56537-1289

Phone

(952) 888-2923

Fax

(952) 345-4465

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard Groff

Title

President

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1528336005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SKOGMO BLVD",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371289",
            "telephone_number": "952-888-2923",
            "fax_number": "952-345-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SKOGMO BLVD",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371289",
            "telephone_number": "952-888-2923",
            "fax_number": "952-345-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK GARDENS OF FERGUS FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Eileen Page, LPN
• Elizabeth Pagel
• Berkley Pajari
• Tanya Marie Palo, FNP-BC
• Kimberly Kari Pantzke, RN
• Rachel Louise Paskewitz, LPCC
• Nathalie Svetlana Paul, D.C.
• Scott D Pauley, MD
• Chelsie Ann Pawlowski, LPN
• Sheryl Louise Payne, RN

• Assisted Living Facility in Fergus Falls, MN
• Providers in Fergus Falls, 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 Dec 12, 2011; 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.