Active NPI
Walker Methodist Plaza Gardens
- Assisted Living Facility
- Anoka, MN
National Provider Identifier
1841652732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 376298
- Legal business name
- WALKER METHODIST PLAZA GARDENS
- Doing business as
- Walker Methodist Plaza Gardens
- Practice address
- 100 Monroe St
Anoka, MN 55303-2405 - Phone
- (763) 422-1226
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marnie Marie Gugisberg
- Title
- Cfo
- Phone
- (320) 763-1164
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 372921 | MN | |
| Assisted Living Facility | 310400000X | 376298 | MN | Primary |
Addresses
Primary practice location
100 Monroe St
Anoka, MN 55303-2405
Mailing address
11055 Wayzata Blvd
Minnetonka, MN 55305-1573
Phone (320) 763-1164
Other names 1
- Walker Methodist Plaza Gardens
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2111842 | Walker Methodist Plaza Gardens | Certificate of waiver | Apr 14, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1841652732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11055 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051573",
"telephone_number": "320-763-1164",
"fax_number": "612-827-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MONROE ST",
"city": "ANOKA",
"state": "MN",
"postal_code": "553032405",
"telephone_number": "763-422-1226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKER METHODIST PLAZA GARDENS",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "GUGISBERG",
"authorized_official_first_name": "MARNIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "320-763-1164"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "372921",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "376298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Walker Methodist Plaza Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.