CARDINAL COURT AND VILLA VISTA
NPI 1003056706
Assisted Living Facility in Cromwell, MN

Q: What is Villa Court LLC's NPI number?

The NPI number for Villa Court LLC is 1003056706. It was assigned to this organization in the NPPES registry on February 20, 2009. The provider is doing business as Cardinal Court And Villa Vista.

Q: What is Villa Court LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Villa Court LLC was last updated on February 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2009CLIA 24D0403653 · Waiver

1220 VILLA COURT DRIVE, CROMWELL, MN 55726(218) 644-3331(218) 644-3505 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cardinal Court And Villa Vista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDINAL COURT AND VILLA VISTA (NPI 1003056706) is a healthcare organization registered as an assisted living facility in Cromwell, Minnesota and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Julie R Peterson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003056706

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameVILLA COURT LLC

Location Address1220 VILLA COURT DRIVECromwell, MN 55726-0000

Mailing Address1220 Villa Court DriveCromwell, MN 55726-0000 · (218) 644-3331 · Fax (218) 644-3505

Phone(218) 644-3331

Fax(218) 644-3505

Organization SubpartNo

Authorized OfficialJulie R PetersonAdministrator · (218) 644-3331

Enumeration DateFebruary 20, 2009

✔ NPI 1003056706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MN · 343408

Definition

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.

1220 VILLA COURT DRIVE, Cromwell, MN 55726

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Other Names 1

Doing Business AsCardinal Court And Villa Vista

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0403653

Villa Court LLC Dba Villa Vista And Cardinal Court · Cromwell, MN

Active · expires Aug 31, 2026

CLIA Number24D0403653

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJulie R. Peterson

Laboratory Phone(218) 644-3331

Laboratory LocationVilla Court LLC Dba Villa Vista And Cardinal Court1220 Villa Court Drive, Cromwell, MN 55726

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Villa Court LLC's NPI number?

The NPI number for Villa Court LLC is 1003056706. It was assigned to this organization in the NPPES registry on February 20, 2009. The provider is doing business as Cardinal Court And Villa Vista.

Where is Villa Court LLC located?

Villa Court LLC is located at 1220 Villa Court Drive, Cromwell, MN 55726. The listed phone number is (218) 644-3331.

What is Villa Court LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Villa Court LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0403653) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Villa Court LLC was last updated on February 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.