Organization Active NPI

Voa Care Centers, Minnesota

  • Assisted Living Facility
  • Coon Rapids, MN
National Provider Identifier
1578878773
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

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
Asst. Secretary/Asst. Treasurer
Phone
(952) 941-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A337462000MedicaidMN

Other names 1

  • The Homestead at Coon Rapids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Homestead at Coon Rapids3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "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.

Verify at the official NPI Registry.