Active NPI
Virginia Carefree Living
- Assisted Living Facility
- Virginia, MN
National Provider Identifier
1871290353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2227637 | Virginia Carefree Living | Certificate of waiver | Jun 14, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.