FIVE STAR LIVING OF ALEXANDRIA NPI 1316191539

NPI Information

NPI: 1316191539
Provider Name: FIVE STAR LIVING OF ALEXANDRIA

Doing Business As: DIAMOND WILLOW ASSISTED LIVING OF ALEXANDRIA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
803 VICTOR ST
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 762-1448
Get Directions

FIVE STAR LIVING OF ALEXANDRIA is an assisted living facility in Alexandria, 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. FIVE STAR LIVING OF ALEXANDRIA NPI is 1316191539. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Willow Assisted Living Of Alexandria.

The provider's business location address is:

803 VICTOR ST
ALEXANDRIA, MN
ZIP 56308-479
Phone: (320) 762-1448

The provider's authorized official is Lynn Gevik .
The authorized official title is Coo and has the following contact phone number (218) 625-2319.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.

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
1	310400000X	Assisted Living Facility		340277	MINNESOTA	Yes

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
1	A367147100	OTHER	MINNESOTA	STATE OF MN PROVIDER #

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »