Organization Active NPI

Walker Eldercare Services Inc.

Doing business as Timber Pines Assisted Living

  • Assisted Living Facility
  • Pine City, MN
National Provider Identifier
1851072151
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WALKER ELDERCARE SERVICES INC.
Doing business as
Timber Pines Assisted Living
Practice address
650 Northridge Dr NW
Pine City, MN 55063-5895
Phone
(320) 591-1371
Fax
(612) 688-7690
NPI assigned
Jul 28, 2023
Last updated
May 7, 2024By the provider in NPPES
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) 763-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

650 Northridge Dr NW
Pine City, MN 55063-5895

Mailing address

11055 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1573
Phone (320) 763-1164

Other names 1

  • Timber Pines Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1851072151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 WAYZATA BLVD STE 200",
            "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": "650 NORTHRIDGE DR NW",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550635895",
            "telephone_number": "320-591-1371",
            "fax_number": "612-688-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER ELDERCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "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": "320-763-6653"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timber Pines Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timber Pines Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.