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DIAMOND WILLOW
NPI 1093842247
Assisted Living Facility in Baxter, MN

Active since February 27, 2007CLIA Certified · 6 labs
14396 GRAND OAKS DR, BAXTER, MN 56425(218) 625-2316(218) 727-9559 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diamond Willow NPPES

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

DIAMOND WILLOW (NPI 1093842247) is a healthcare organization registered as an assisted living facility in Baxter, Minnesota and active in the NPI registry since February 2007. The organization holds 6 active CLIA laboratory certificates and lists Lynn Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1093842247
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR LIVING OF BRAINERD, LLC
Location Address14396 GRAND OAKS DRBaxter, MN 56425
Mailing Address11 E Superior St, Suite 508Duluth, MN 55802-2007 · (218) 625-2316 · Fax (218) 727-9559
Phone(218) 625-2316
Fax(218) 727-9559
Organization SubpartNo
Authorized OfficialLynn GevikCoo · (218) 625-2316
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093842247 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 · 332934
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.
14396 GRAND OAKS DR, Baxter, MN 56425
Open in Google Maps ↗

Other Names 1

Doing Business AsDiamond Willow

CLIA Laboratory Certificates CMS CLIA 6

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 24D2005170

Tl-Dw Detroit Lakes, LLC D/B/A Diamond Willow · Detroit Lakes, MN
Active · expires Mar 21, 2028
CLIA Number24D2005170
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorHeather Hitchcock
Laboratory Phone(218) 625-2316
Laboratory LocationTl-Dw Detroit Lakes, LLC D/B/A Diamond WillowBurlington Suites-1558 Randolph Road, Detroit Lakes, MN 56501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2005171

Tl-Dw Grand Rapids, LLC D/B/A Diamond Willow · Grand Rapids, MN
Active · expires Mar 21, 2028
CLIA Number24D2005171
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorHeather Hitchcock
Laboratory Phone(218) 625-2316
Laboratory LocationTl-Dw Grand Rapids, LLC D/B/A Diamond WillowEagle Pine Suites - 949 SW 11th Ave, Grand Rapids, MN 55744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1081641

Tl-Dw Little Falls, LLC D/B/A Diamond Willow · Little Falls, MN
Active · expires Mar 20, 2028
CLIA Number24D1081641
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorHeather Hitchcock
Laboratory Phone(218) 625-2316
Laboratory LocationTl-Dw Little Falls, LLC D/B/A Diamond WillowLindbergh Suites - 1405 5th Avenue NE, Little Falls, MN 56345
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2037579

Tl-Dw Lester Park, LLC D/B/A Diamond Willow · Duluth, MN
Active · expires Feb 29, 2028
CLIA Number24D2037579
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorJenny Sailer
Laboratory Phone(218) 625-2316
Laboratory LocationTl-Dw Lester Park, LLC D/B/A Diamond WillowGitchi Gammi Suites - 6355 E Superior Street, Duluth, MN 55804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1061412

Tl-Dw Mountain Iron, LLC D/B/A Diamond Willow · Mountain Iron, MN
Active · expires Nov 16, 2026
CLIA Number24D1061412
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorJenny Sailer
Laboratory Phone(218) 625-2316
Laboratory LocationTl-Dw Mountain Iron, LLC D/B/A Diamond WillowWacoutah Suites - 8583 Unity Drive, Mountain Iron, MN 55768
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1061415

Tl-Dw Cloquet, LLC D/B/A Diamond Willow · Cloquet, MN
Active · expires Nov 16, 2026
CLIA Number24D1061415
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorJenny Sailer
Laboratory Phone(218) 625-2316
Laboratory LocationTl-Dw Cloquet, LLC D/B/A Diamond WillowStillwell Suites - 130 W North Road, Cloquet, MN 55720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORDIC WOODS ASSISTED LIVING LLC
Assisted Living Facility
14396 GRAND OAKS DR
BAXTER, MN 56425
Crow Wing County (218) 454-0580
FCSL BAXTER, LLC
Assisted Living Facility
14396 GRAND OAKS DR
BAXTER, MN 56425
Crow Wing County (218) 825-7034

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 Five Star Living Of Brainerd, LLC's NPI number?

The NPI number for Five Star Living Of Brainerd, LLC is 1093842247. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Diamond Willow.

Where is Five Star Living Of Brainerd, LLC located?

Five Star Living Of Brainerd, LLC is located at 14396 Grand Oaks Dr, Baxter, MN 56425. The listed phone number is (218) 625-2316.

What is Five Star Living Of Brainerd, LLC's specialty?

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

Does Five Star Living Of Brainerd, LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Five Star Living Of Brainerd, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.