MSL-MN ALF SERVICES (NPI# 1508271594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508271594 |
| Entity Type | Organization |
| Organization Name | MSL-MN ALF SERVICES |
| Other Organization Name | DIAMOND WILLOW ASSISTED LIVING |
| Practice Address |
2701 W Superior St Suite 101 Duluth MN 55806-1856 |
| Practice Telephone | 2186252319 |
| Practice Fax Number | 2186252338 |
| Mailing Telephone | 2186252319 |
| Mailing Fax Number | 2186252338 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | BOBBI A LUND (BILLING) |
| Authorized Official Telephone | 2186252319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 367057 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| DIAMOND WILLOW ASSISTED LIVING | Doing Business As Name - Organization |
| Street Address |
2701 W SUPERIOR ST SUITE 101 |
| City | DULUTH |
| State | MN |
| Zip Code | 55806-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972861417 | In Motion Therapy, Inc | Clinic/Center | 2701 W Superior St, Ste 112, Duluth, MN 55806-1856 | 2012-05-02 |
| 1568080240 | Camille Suzanne Murphy | Registered Nurse | 2701 W Superior St, Duluth, MN 55806-1856 | 2020-07-09 |
| 1639665730 | Todd Gray | Registered Nurse | 2701 W Superior St, Duluth, MN 55806-1856 | 2018-07-02 |
| 1568851160 | Full Circle Senior Living LLC | Assisted Living Facility | 2701 W Superior St, Suite 101, Duluth, MN 55806-1856 | 2015-01-20 |
| 1205190881 | Suzanne Elizabeth Donahue | Physical Therapist | 2701 W Superior St, Ste 112, Duluth, MN 55806-1856 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023339389 | Community Connection of Mn, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2701 W. Superior St., Suite 101, Duluth, MN 55806 | 2010-06-21 |
| 1902998875 | Stephen Thomas Hero | Dentist | 2016 W Superior Street, Duluth, MN 55806 | 2006-09-29 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1144787375 | Andrew Eric Norris | Specialist/Technologist | 2316 W 9th St Apt 1, Duluth, MN 55806-1229 | 2019-02-24 |
| 1013187855 | John Peter Vorderbruggen | Technician/Technologist | 901 N 23rd Ave W, Duluth, MN 55806-1244 | 2008-03-07 |
| 1891017638 | Jesse Dykhuis | Doula | 3304 Vernon St, Duluth, MN 55806-1327 | 2010-02-21 |
| 1619063039 | Andrew John Vasil | General Practice | 623 Pacific Ave, Duluth, MN 55806-1336 | 2006-10-04 |
| 1952688871 | Megan Rock | Dental Hygienist | 2720 W 7th St, Duluth, MN 55806-1345 | 2011-11-06 |
| 1265778005 | Jeremy Lee Walton | Occupational Therapist | 514 Winnipeg Ave, Duluth, MN 55806-1449 | 2012-12-26 |
| 1790147049 | Kathleen Ann Miller | Occupational Therapy Assistant | 2963 Exeter St, Duluth, MN 55806-1450 | 2016-03-25 |
| Find all providers in zip 55806 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195968 | Tender Cares LLC | Assisted Living Facility | 1137 Brainerd Ave, Duluth, MN 55811-4913 | 2018-12-05 |
| 1144628231 | Fcsl Lester Park, LLC | Assisted Living Facility | 6355 E Superior St, Duluth, MN 55804-2545 | 2014-12-05 |
| 1710384862 | Fcsl Lester Park, LLC | Assisted Living Facility | 6353 E Superior St, Duluth, MN 55804-2545 | 2014-12-04 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1649521444 | Benedictine Sisters Benevolent Association | Assisted Living Facility | 1001 Kenwood Ave, Duluth, MN 55811-2370 | 2012-09-20 |
| 1780939132 | Five Star Assisted Living Services, LLC | Assisted Living Facility | 6353 E Superior Street, Duluth, MN 55804-2545 | 2012-07-20 |
| 1962676577 | St. Ann's Home | Assisted Living Facility | 330 E 3rd St, Duluth, MN 55805-1846 | 2008-04-15 |
| 1093999773 | River Hill Assisted Living, Inc. | Assisted Living Facility | 126 98 Ave West, Duluth, MN 55808-2110 | 2007-12-18 |
| 1396959433 | Heritage Haven Inc | Assisted Living Facility | 4512 London Rd, Duluth, MN 55804-2340 | 2007-05-09 |
| 1518084847 | Keystone Five Star LLC | Assisted Living Facility | 2528 Trinity Rd, Duluth, MN 55811-3315 | 2007-03-23 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.