NPIMap

Organization Active NPI

Northwoods Villa Inc.

  • Home Health Agency
  • Grand Rapids, MN
National Provider Identifier
1972140333
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHWOODS VILLA INC.
Doing business as
Northwoods Villa Inc. 3
Practice address
1905 W US Highway 2
Grand Rapids, MN 55744-4738
Phone
(218) 999-4644
Fax
(218) 999-0100
NPI assigned
Dec 4, 2019
Organization subpart
Yes
Parent organization
NORTHWOODS VILLA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Hillary Johnson
Title
RN/Owner/Administrator
Phone
(218) 244-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1905 W US Highway 2
Grand Rapids, MN 55744-4738

Mailing address

1905 W US Highway 2
Grand Rapids, MN 55744-4738
Phone (218) 999-4644

Other names 1

  • Northwoods Villa Inc. 3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwoods Villa Inc 26 organizations share this tax ID, including this one
Part of
Northwoods Villa Inc 2

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1972140333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W US HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444738",
            "telephone_number": "218-999-4644",
            "fax_number": "218-999-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W US HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444738",
            "telephone_number": "218-999-4644",
            "fax_number": "218-999-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS VILLA INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWOODS VILLA INC.",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "RN/OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "218-244-8731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Villa Inc. 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.