Knute Nelson Senior Living Campus, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KNUTE NELSON SENIOR LIVING CAMPUS, LLC

Doing business as

Grand Arbor

Practice address

4403 Pioneer Road
Alexandria, MN 56308

Phone

(320) 763-1600

Fax

(320) 763-7548

NPI assigned

Jun 15, 2011

Last updated

Jun 15, 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

Marnie Gugisberg

Title

Cfo

Phone

(320) 763-1164

Specialties & licenses 1

Addresses

Other names 1

• GRAND ARBOR Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1679868947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 12TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082612",
            "telephone_number": "320-763-1164",
            "fax_number": "320-763-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 PIONEER ROAD",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-763-1600",
            "fax_number": "320-763-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUTE NELSON SENIOR LIVING CAMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GUGISBERG",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-763-1164"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND ARBOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Knute Nelson (Knute Nelson Hospice)
• Knute Nelson (Knute Nelson Care Center)
• Knute Nelson (Knute Nelson Hospice)
• Knute Nelson (Nelson Gables)
• Knute Nelson Cottages LLC (Autumn Cottages by Knute Nelson)
• Dianne Marie Knutson, LADC
• Aubrey Lynn Koep
• Ashley Koepp
• Vickie Davis Kohler, OT
• Rita Ann Kopp, PT

• Assisted Living Facility in Alexandria, MN
• Providers in Alexandria, 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 Jun 15, 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.