1417617291 NPI number — VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES

Table of content: KENNEDY GRACE CHOW PA (NPI 1437857489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417617291 NPI number — VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417617291
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7485 OFFICE RIDGE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDEN PRAIRIE
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55344-3690
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-428-7840
Provider Business Mailing Address Fax Number:
952-941-0428

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11400 4TH ST N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNETONKA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55343-3603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-283-2600
Provider Business Practice Location Address Fax Number:
952-283-2606
Provider Enumeration Date:
12/21/2021

Additional Information

Authorized Official

Authorized Official Last Name:
GAVIN
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
ASS'T SECRETARY
Authorized Official Telephone Number:
612-428-7840

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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