Organization Active NPI

Virginia Carefree Living

  • Assisted Living Facility
  • Virginia, MN
National Provider Identifier
1871290353
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIRGINIA CAREFREE LIVING
Practice address
421 10TH St S
Virginia, MN 55792-2843
Phone
(218) 248-8626
Fax
(218) 248-8632
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Jon Monacelli
Title
SVP of Finance
Phone
(218) 248-8626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

421 10TH St S
Virginia, MN 55792-2843

Mailing address

418 9TH St S
Virginia, MN 55792-2838
Phone (218) 741-3013

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
24D2227637Virginia Carefree Living421 10TH Street South, Virginia, MN 55792Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1871290353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 9TH ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922838",
            "telephone_number": "218-741-3013",
            "fax_number": "218-741-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 10TH ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922843",
            "telephone_number": "218-248-8626",
            "fax_number": "218-248-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CAREFREE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MONACELLI",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "SVP OF FINANCE",
        "authorized_official_telephone_number": "218-248-8626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.