Villa St. Vincent, NPI 1215932728
Assisted Living Facility in Crookston, MN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1215932728 |
| NPI Entity Type | Organization |
| Provider Name | Villa St. Vincent |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 516 Walsh St, Crookston, MN, US |
| Provider Mailing Address | 516 Walsh St, Crookston, MN, US, 56716 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Judy Hulst |
| Official Position | CEO/ADMINISTRATOR |
| Phone | 218-281-9700 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Assisted Living Facility |
| Classification | |
| Group | |
| License No. | 325662 |
| License State | MN |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 352789 | MN | No | |||
| 353890 | MN | No | |||
| 328575 | MN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 8756VI | MN | BLUE CROSS INSURANCE | 01 |
| 177240600 | MN | MEDICAID | 05 |
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