NPIMap

Organization Active NPI

Benedictine Living Community of Mora

Doing business as Eastwood Senior Living

  • Assisted Living Facility
  • Mora, MN
National Provider Identifier
1891179271
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
371951 Issued in MN
Legal business name
BENEDICTINE LIVING COMMUNITY OF MORA
Doing business as
Eastwood Senior Living
Practice address
170 Valhalla Cir
Mora, MN 55051-4905
Phone
(320) 679-4789
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Mr. Jack L'Heureux
Title
Administrator/Ceo
Phone
(320) 679-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 371951 MN Primary

Addresses

Primary practice location

170 Valhalla Cir
Mora, MN 55051-4905

Mailing address

170 Valhalla Cir
Mora, MN 55051-4905
Phone (320) 679-4789

Other names 1

  • EASTWOOD SENIOR LIVING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benedictine Living Community of Mora4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

170 Valhalla Cir
Mora, MN 55051
Phone (320) 679-4789

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1891179271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 VALHALLA CIR",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550514905",
            "telephone_number": "320-679-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 VALHALLA CIR",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550514905",
            "telephone_number": "320-679-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE LIVING COMMUNITY OF MORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "L'HEUREUX",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "320-679-8312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "371951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTWOOD SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.