Walker Eldercare Services Inc.

Key facts

NPI

1851072151

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

Legal business name

WALKER ELDERCARE SERVICES INC.

Practice address

650 Northridge Dr NW
Pine City, MN 55063-5895

Phone

(320) 591-1371

Fax

(612) 688-7690

NPI assigned

Jul 28, 2023

Organization subpart

No

Authorized official

Name

Marnie Marie Gugisberg

Title

Cfo

Phone

(320) 763-6653

National Provider Directory

Specialties & licenses

Addresses

Other names

• Timber Pines Assisted Living Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2024.

{
    "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"
        }
    ]
}

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