FCSL ALEXANDRIA (NPI# 1932506003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932506003 |
| Entity Type | Organization |
| Organization Name | FCSL ALEXANDRIA |
| Other Organization Name | DIAMOND WILLOW ASSISTED LIVING |
| Practice Address |
803 1/2 Victor Street Alexandria MN 56308 |
| Mailing Address |
2701 W Superior St Suite 101 Duluth MN 55806-1856 |
| Practice Telephone | 3207622067 |
| Mailing Telephone | 2186258488 |
| Mailing Fax Number | 2186252338 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | NATALIE ZELEZNIKAR (OWNER) |
| Authorized Official Telephone | 2186258488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 370713 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| DIAMOND WILLOW ASSISTED LIVING | Doing Business As Name - Organization |
| Street Address |
803 1/2 VICTOR STREET |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| 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 |
|---|---|---|---|---|
| 1649695586 | Labier Geriatrics, Inc. | Assisted Living Facility | 5707 Dawes Ave, Alexandria, VA 22311-1103 | 2014-03-01 |
| 1821432493 | Inova Health System Services | Assisted Living Facility | 8033 Holland Rd, Alexandria, VA 22306-3133 | 2013-04-25 |
| 1679868947 | Knute Nelson Senior Living Campus, LLC | Assisted Living Facility | 4403 Pioneer Road, Alexandria, MN 56308 | 2011-06-15 |
| 1578854006 | Quality Care Nursing | Assisted Living Facility | 740 Fred Loop, Alexandria, LA 71302-5739 | 2011-05-02 |
| 1962733493 | Sharon's Senior Services Inc | Assisted Living Facility | 1441 Rosewood Lane Se, Alexandria, MN 56308 | 2010-01-22 |
| 1861721417 | Knute Nelson | Assisted Living Facility | 1220 Nokomis St, Alexandria, MN 56308-3700 | 2009-12-10 |
| 1164660817 | Lakes Area Assisted Living LLC | Assisted Living Facility | 1313 County Road 22 Nw, Alexandria, MN 56308-4957 | 2009-02-02 |
| 1316191539 | Five Star Living of Alexandria | Assisted Living Facility | 803 Victor St, Alexandria, MN 56308-2479 | 2008-11-14 |
| 1043480981 | Almor Enterprises Extended Services | Assisted Living Facility | 830 Mckeithen Dr, Alexandria, LA 71303-9770 | 2008-03-06 |
| 1770799348 | Sharons Senior Services Inc | Assisted Living Facility | 2307 E Golf Course Rd Ne, Alexandria, MN 56308-8643 | 2007-05-14 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on FCSL ALEXANDRIA.
| 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.