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COUNTRY VILLA
NPI 1083880272
Assisted Living Facility in Golden Valley, MN

Active since May 07, 2008
7475 COUNTRY CLUB DRIVE, GOLDEN VALLEY, MN 55427(763) 512-1579(763) 540-6899 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Country Villa NPPES

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

COUNTRY VILLA (NPI 1083880272) is a healthcare organization registered as an assisted living facility in Golden Valley, Minnesota and active in the NPI registry since May 2008. The organization lists Walter A Levonowich, Vice President Controller, as its authorized official.

NPPES Registry Identity

NPI1083880272
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASSISTED LIVING CONCEPTS INC
Location Address7475 COUNTRY CLUB DRIVEGolden Valley, MN 55427
Mailing AddressW140 N8981 Lilly Road, Attn Legal DepartmentMenomonee Falls, WI 53051-2325 · (262) 257-8888 · Fax (262) 251-7633
Phone(763) 512-1579
Fax(763) 540-6899
Organization SubpartNo
Authorized OfficialWalter A LevonowichVice President Controller · (262) 257-8888
Enumeration DateMay 7, 2008
✔ NPI 1083880272 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 · HFID204
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.

7475 COUNTRY CLUB DRIVE, Golden Valley, MN 55427
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Other Names 1

Doing Business AsCountry Villa

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 Assisted Living Concepts Inc's NPI number?

The NPI number for Assisted Living Concepts Inc is 1083880272. It was assigned to this organization in the NPPES registry on May 7, 2008. The provider is doing business as Country Villa.

Where is Assisted Living Concepts Inc located?

Assisted Living Concepts Inc is located at 7475 Country Club Drive, Golden Valley, MN 55427. The listed phone number is (763) 512-1579.

What is Assisted Living Concepts Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Assisted Living Concepts Inc was last updated on May 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.