Organization Active NPI

Tufte Manor

Doing business as Valley Senior Living on Cherry

  • Skilled Nursing Facility
  • Grand Forks, ND
National Provider Identifier
1841691789
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TUFTE MANOR
Doing business as
Valley Senior Living on Cherry
Practice address
3300 Cherry St
Grand Forks, ND 58201-7634
Phone
(701) 787-7600
NPI assigned
Sep 10, 2014
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HOMES & SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Megan Anderson
Title
Administrative Project Coordinator
Phone
(701) 787-7970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ND Primary

Addresses

Primary practice location

3300 Cherry St
Grand Forks, ND 58201-7634

Mailing address

3300 Cherry St
Grand Forks, ND 58201-7699
Phone (701) 787-7600

Other identifiers 1

IdentifierTypeStateIssuer
000030778MedicaidND

Other names 1

  • Valley Senior Living on Cherry 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
35D0914396Tufte Manor3300 Cherry St, Grand Forks, ND 58201Certificate of waiverApr 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Tufte Manor2 organizations share this tax ID, including this one
Part of
Tufte Manor

Other organizations with this tax ID 1

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

Locations

3300 Cherry St
Grand Forks, ND 58201
Phone (701) 741-1979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1841691789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CHERRY ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017699",
            "telephone_number": "701-787-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CHERRY ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017634",
            "telephone_number": "701-787-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTE MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HOMES & SERVICES",
        "enumeration_date": "2014-09-10",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROJECT COORDINATOR",
        "authorized_official_telephone_number": "701-787-7970"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030778",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Senior Living on Cherry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.