Organization Active NPI

Nordic Woods Assisted Living LLC

Doing business as Nordic Woods Assisted Living

  • Assisted Living Facility
  • Baxter, MN
National Provider Identifier
1760298970
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORDIC WOODS ASSISTED LIVING LLC
Doing business as
Nordic Woods Assisted Living
Practice address
14396 Grand Oaks Dr
Baxter, MN 56425-8747
Phone
(218) 454-0580
NPI assigned
Dec 4, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Catherine Sue Hughes
Title
Executive Director
Phone
(218) 821-9302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

14396 Grand Oaks Dr
Baxter, MN 56425-8747

Mailing address

14396 Grand Oaks Dr
Baxter, MN 56425-8747
Phone (218) 454-0580

Other names 1

  • Nordic Woods Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2333050Nordic Woods Assisted Living14396 Grand Oaks Dr, Baxter, MN 56425Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1760298970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14396 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258747",
            "telephone_number": "218-454-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14396 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258747",
            "telephone_number": "218-454-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDIC WOODS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-821-9302"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordic Woods Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.