Meadow Ridge Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW RIDGE SENIOR LIVING

Practice address

7475 Country Club Dr
Golden Valley, MN 55427-4622

Phone

(651) 706-3591

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Dianna Delgado

Title

VP of Operations

Phone

(763) 710-0270

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Maple Hill Senior Living LLC Dba Meadow Ridge Home Care2 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.

• Maple Hill Senior Living, LLC Dba Meadow Ridge Home Care

  • Assisted Living Facility
  • Golden Valley, MN
  • NPI 1962940262
  NPD tax ID

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1538526223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 COUNTRY CLUB DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274622",
            "telephone_number": "651-706-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW RIDGE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "763-710-0270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A304160100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Tora McIntosh, LICSW
• Steven Michael McManus, LMFT
• Julie A McMonagle, LICSW
• Kimberly Nicole McNally, DNP, CNM, FNP-C
• Ryan Michael Meade, MS, LPCC
• Mehret Medhanie, NP
• Medicare Home Care
• Medlab Inc
• Medway Support Services. LLC
• Meisa Transportation Services, LLC

• Assisted Living Facility in Golden Valley, MN
• Providers in Golden Valley, 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 Jan 26, 2016; 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.