Tuff Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

759418600 Issued in MN

Legal business name

TUFF VILLAGE

Practice address

301 Co Rd 6
Hills, MN 56138-1017

Phone

(507) 962-3500

Fax

(507) 962-3590

NPI assigned

Oct 4, 2006

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

TUFF MEMORIAL HOMEAs reported in NPPES

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

Authorized official

Name

Mrs. Bonnie Hengeveld

Title

Housing Manager

Phone

(507) 962-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tuff Village2 organizations share this tax ID, including this one

Part of

Tuff Village

Other organizations with this tax ID 1

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

• Tuff Memorial Home

  • Nursing Facility/Intermediate Care Facility
  • Hills, MN
  • NPI 1790785194
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tuff Memorial Home

  • Nursing Facility/Intermediate Care Facility
  • Hills, MN
  • NPI 1790785194
  NPPES parent name

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1992890008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CO RD 6",
            "city": "HILLS",
            "state": "MN",
            "postal_code": "561381017",
            "telephone_number": "507-962-3500",
            "fax_number": "507-962-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CO RD 6",
            "city": "HILLS",
            "state": "MN",
            "postal_code": "561381017",
            "telephone_number": "507-962-3500",
            "fax_number": "507-962-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFF VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUFF MEMORIAL HOME",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HENGEVELD",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "HOUSING MANAGER",
        "authorized_official_telephone_number": "507-962-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "759418600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759418600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hills-Beaver Creek Isd 671
• Tuff Memorial Home
• Susan Renee Vandenberg, PHARMD
• Jodi Vandenbosch

• Assisted Living Facility in Hills, MN
• Providers in Hills, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.