Mora Housing and Redevelopment Authority

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MORA HOUSING AND REDEVELOPMENT AUTHORITY

Doing business as

Eastwood Senior Living

Practice address

170 Valhalla Cir
Mora, MN 55051-4905

Phone

(612) 827-8357

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Padgett

Title

Director of Revenue Cycle

Phone

(612) 827-8357

Specialties & licenses 1

Addresses

Other names 1

• Eastwood Senior Living Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1629612536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 VALHALLA CIR",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550514905",
            "telephone_number": "612-827-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 VALHALLA CIR",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550514905",
            "telephone_number": "612-827-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA HOUSING AND REDEVELOPMENT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "612-827-8357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "170 Valhalla Cir",
            "city": "Mora",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550514905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eastwood Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa L Merrick
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• Mora Dental Center
• Mora Dental Center LLC
• Gordon Troy Mork, OD
• Jean Mork, PT
• Joseph Troy Mork, OD
• Kaitlyn Marie Moss
• Thomas Matthew Mullin, MD

• Assisted Living Facility in Mora, MN
• Providers in Mora, 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 Nov 4, 2019; 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.