Garden Lane Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FBL-0018779-22147 Issued in MN

Legal business name

GARDEN LANE ASSISTED LIVING

Practice address

10240 N Garden LN NE
Bemidji, MN 56601-8555

Phone

(218) 751-0583

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Teri Louise Kinn

Title

Owner

Phone

(218) 751-0583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1821187220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9748 PONY LAKE RD NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015986",
            "telephone_number": "218-751-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 N GARDEN LN NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018555",
            "telephone_number": "218-751-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN LANE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KINN",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-751-0583",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "FBL-0018779-22147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Ann Fultz, L.P.
• Dane Furfaro, MA, LPCC
• Timothy Furfaro, PHARMD
• Jeremy Gagola, CNP
• Megan Ann Marion Galstad
• Kori Louise Geiger
• Lucas K Genereux, OD
• Sarah Gennes, RN
• Melissa Ann George-Humphrey, LICSW
• Geri C Wilimek LLC

• Assisted Living Facility in Bemidji, MN
• Providers in Bemidji, 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 Jul 17, 2008; 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.