COUNTRY VILLA – NPI #1083880272
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.
COUNTRY VILLA is an assisted living facility located in GOLDEN VALLEY, MN. NPPES has assigned the NPI number 1083880272 to COUNTRY VILLA on May 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNTRY VILLA” is a dba name, the actual legal business name for this organization is ASSISTED LIVING CONCEPTS INC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUNTRY VILLA below.
NPI Profile for
ASSISTED LIVING CONCEPTS INC
(more than 18 years ago)
GOLDEN VALLEY, MN 55427 Phone: (763) 512-1579 Fax: (763) 540-6899
ATTN LEGAL DEPARTMENT
MENOMONEE FALLS, WI 53051-2325 Phone: (262) 257-8888 Fax: (262) 251-7633
VICE PRESIDENT CONTROLLER
Phone: (262) 257-8888
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 310400000X - Assisted Living Facility (Primary) |
MN | HFID204 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.