Grand View LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

GRAND VIEW LLC

Doing business as

Maple View Grand Forks

Practice address

4650 S Washington St
Grand Forks, ND 58201-7222

Phone

(701) 772-3400

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Chad Michael Olson

Title

Cfo

Phone

(701) 852-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maple View Grand Forks 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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1740887132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017222",
            "telephone_number": "701-772-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017222",
            "telephone_number": "701-772-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-852-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456015",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple View Grand Forks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grand Forks Head Start
• Grand Forks Public School District
• Grand Forks Public Schools District 1
• Grand Forks Public Schools District 1
• Grand Forks Public Schools District 1
• Margaret W Granlund, LSW
• Suzanne Fay Grant-Gooden, PT
• Shawana Grant
• Cody Grassel, CRNA
• Jennifer Grassel, FNP-C

• Alzheimer Center (Dementia Center) in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Alzheimer Center (Dementia Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.