CITY OF WALNUT GROVE NPI 1033176854

NPI Information

  • NPI: 1033176854
  • Provider Name: CITY OF WALNUT GROVE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: COUNTRY VIEW
  • CLIA Number: 24D1090169
  • Address: 810 8TH ST
    WALNUT GROVE, MN
    ZIP 56180
  • Phone: (952) 888-2923

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NPI Details

CITY OF WALNUT GROVE is an assisted living facility in Walnut Grove, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CITY OF WALNUT GROVE NPI is 1033176854. The provider is registered as an organization entity type.
The provider Is Doing Business As Country View.

The provider's business location address is:

810 8TH ST
WALNUT GROVE, MN
ZIP 56180-147
Phone: (952) 888-2923

The provider's authorized official is Howie Groff .
The authorized official title is President and has the following contact phone number (952) 888-2923.

The CLIA number assigned to this NPI record is 24D1090169 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 6/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility328746MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1330322OTHERMINNESOTAHWS
2951496100MEDICAIDMINNESOTA
3328746OTHERMINNESOTAALHCP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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