Chosen Valley Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

330930 Issued in MN

Legal business name

CHOSEN VALLEY ASSISTED LIVING

Practice address

1260 Winona St SE
Chatfield, MN 55923-1480

Phone

(507) 867-3416

Fax

(507) 867-3426

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Kay Haakenson

Title

Business Manager

Phone

(507) 867-4220

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Chosen Valley Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chosen Valley Care Center, Inc

  • Skilled Nursing Facility
  • Chatfield, MN
  • NPI 1316931645
  NPD tax ID

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841222908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 WINONA ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231480",
            "telephone_number": "507-867-3416",
            "fax_number": "507-867-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 WINONA ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231480",
            "telephone_number": "507-867-3416",
            "fax_number": "507-867-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN VALLEY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAAKENSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "507-867-4220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "330930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Anderson, RN, DNP
• Chatfield Dental Clinic, L.L.C.
• Chatfield Family Chiropractic LLC
• Chatfield Public School Isd #227
• Chosen Valley Care Center, Inc
• City of Chatfield
• Victoria L Dietz, MD
• Christopher Dornack, PHARMD
• Alyssa Eckdahl, RN

• Assisted Living Facility in Chatfield, MN
• Providers in Chatfield, 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 Aug 22, 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.