NORTHWOODS VILLA INC. (NPI# 1972140333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972140333 |
| Entity Type | Organization |
| Organization Name | NORTHWOODS VILLA INC. |
| Practice Address |
1905 W Us Highway 2 Grand Rapids MN 55744-4738 |
| Practice Telephone | 2189994644 |
| Practice Fax Number | 2189990100 |
| Mailing Telephone | 2189994644 |
| Mailing Fax Number | 2189990100 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | HILLARY JOHNSON (RN/OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2182448731 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWOODS VILLA INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Northwoods Villa Inc. 3 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223127 | Northwoods Villa Inc. | Nursing Care | 1132 Gunn Rd, Grand Rapids, MN 55744-7263 | 2018-11-12 |
| Street Address |
1905 W US HIGHWAY 2 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1497210017 | Bella Mente Inc. | Home Health | 114 Brock Ln, Grand Rapids, MN 55744-9211 | 2019-02-07 |
| 1134698848 | Passionate Caregivers LLC | Home Health | 508 Fontenelle St Se, Grand Rapids, MI 49548-7317 | 2018-11-26 |
| 1063920494 | Lmk Home Health Services-llc | Home Health | 3265 Dawes Ave Se, Grand Rapids, MI 49508-1538 | 2018-01-19 |
| 1225547920 | Praying Hands Home Care LLC Thanks | Home Health | 4922 Division Ave S Ste 4, Grand Rapids, MI 49548-4496 | 2017-09-25 |
| 1912421710 | Annie Bethel LLC | Home Health | 625 Kenmoor Ave Se Ste 350, Grand Rapids, MI 49546-2395 | 2017-08-02 |
| 1538612692 | Hands of Praise Home Care | Home Health | 1112 Benjamin Ave Se, Grand Rapids, MI 49506-3225 | 2016-07-25 |
| 1023477478 | Mary Free Bed At Home, LLC | Home Health | 350 Lafayette Ave Se Ste 501, Grand Rapids, MI 49503-4656 | 2016-02-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
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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.