Tapestry Senior Living of Marion, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0026 Issued in IA

Legal business name

TAPESTRY SENIOR LIVING OF MARION, LLC

Doing business as

Village Ridge

Practice address

365 Marion Blvd
Marion, IA 52302-3139

Phone

(319) 377-9808

Fax

(319) 377-9821

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Amy Dietrich

Title

Business & HR Manager

Phone

(319) 377-9808

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Village Ridge Doing business as

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891919445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MARION BLVD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023139",
            "telephone_number": "319-377-9808",
            "fax_number": "319-377-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MARION BLVD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023139",
            "telephone_number": "319-377-9808",
            "fax_number": "319-377-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY SENIOR LIVING OF MARION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BUSINESS & HR MANAGER",
        "authorized_official_telephone_number": "319-377-9808"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2554004H",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2441961D",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Marion, IA
• Providers in Marion, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.