Organization Active NPI

Walker Methodist Plaza Gardens

  • Assisted Living Facility
  • Anoka, MN
National Provider Identifier
1841652732
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
376298 Issued in MN
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

Updated by the provider on May 7, 2024

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)CodeLicenseStatePrimary
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 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
24D2111842Walker Methodist Plaza Gardens100 Monroe Street, Anoka, MN 55303Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.