Active NPI
Voa Care Centers, Minnesota
- Assisted Living Facility
- Coon Rapids, MN
National Provider Identifier
1578878773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- VOA CARE CENTERS, MINNESOTA
- Practice address
- 1770 113TH LN NW
Coon Rapids, MN 55433-3019 - Phone
- (796) 754-3500
- NPI assigned
- Aug 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Gavin
- Title
- Asst. Secretary/Asst. Treasurer
- Phone
- (952) 941-0305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1770 113TH LN NW
Coon Rapids, MN 55433-3019
Mailing address
1770 113TH LN NW
Coon Rapids, MN 55433-3019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A337462000 | Medicaid | MN |
Other names 1
- The Homestead at Coon Rapids
National Provider Directory
National Provider Directory- Tax ID family
- The Homestead at Coon Rapids
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Saint Paul, MN
- NPI 1376114876
-
- Assisted Living Facility
- Coon Rapids, MN
- NPI 1558483081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1578878773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 113TH LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 113TH LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333019",
"telephone_number": "796-754-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOA CARE CENTERS, MINNESOTA",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-11",
"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": "ASST. SECRETARY/ASST. TREASURER",
"authorized_official_telephone_number": "952-941-0305"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A337462000",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Homestead at Coon Rapids",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Homestead at Coon Rapids",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coon Rapids, 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.