KNUTE NELSON NPI 1861721417

NPI Information

  • NPI: 1861721417
  • Provider Name: KNUTE NELSON
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: NELSON GABLES
  • CLIA Number: 24D0920361
  • Address: 1220 NOKOMIS ST
    ALEXANDRIA, MN
    ZIP 56308
  • Phone: (320) 762-4310

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NPI Details

KNUTE NELSON 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. KNUTE NELSON NPI is 1861721417. The provider is registered as an organization entity type.
The provider Is Doing Business As Nelson Gables.

The provider's business location address is:

1220 NOKOMIS ST
ALEXANDRIA, MN
ZIP 56308-700
Phone: (320) 762-4310
Fax: (320) 763-5738

The provider's authorized official is Marnie Gugisberg .
The authorized official title is Cfo and has the following contact phone number (320) 763-1164.

The CLIA number assigned to this NPI record is 24D0920361 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 12/10/2009.

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 Facility344002MINNESOTAYes

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
1178540100MEDICAIDMINNESOTA

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: 11/21/2025

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