NPIMap

Organization Active NPI

Villa Court LLC

Doing business as Villa Vista Care Center

  • Nursing Facility/Intermediate Care Facility
  • Cromwell, MN
National Provider Identifier
1982889127
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
VILLA COURT LLC
Doing business as
Villa Vista Care Center
Practice address
1197 Villa Vista Circle
Cromwell, MN 55726-0098
Phone
(218) 644-3331
Fax
(218) 644-3505
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Mrs. Julie R Peterson
Title
Administrator
Phone
(218) 644-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X MN Primary

Addresses

Primary practice location

1197 Villa Vista Circle
Cromwell, MN 55726-0098

Mailing address

PO Box 98
1197 Villa Vista Circle
Cromwell, MN 55726-0098
Phone (218) 644-3331

Other names 1

  • Villa Vista Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Court and Villa Vista2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1982889127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "address_2": "1197 VILLA VISTA CIRCLE",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "557260098",
            "telephone_number": "218-644-3331",
            "fax_number": "218-644-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 VILLA VISTA CIRCLE",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "557260098",
            "telephone_number": "218-644-3331",
            "fax_number": "218-644-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA COURT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-644-3331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Vista Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cromwell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.