WENDIGO PINES ASSISTED LIVING
NPI 1205913613
Assisted Living Facility in Grand Rapids, MN

Q: What is Wendigo Pines Assisted Living's NPI number?

The NPI number for Wendigo Pines Assisted Living is 1205913613. It was assigned to this organization in the NPPES registry on November 1, 2006.

Q: What is Wendigo Pines Assisted Living's specialty?

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

Active since November 01, 2006

20371 WENDIGO PARK RD, GRAND RAPIDS, MN 55744(218) 326-6900(218) 326-6900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wendigo Pines Assisted Living NPPES

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

WENDIGO PINES ASSISTED LIVING (NPI 1205913613) is a healthcare organization registered as an assisted living facility in Grand Rapids, Minnesota and active in the NPI registry since November 2006. The organization lists Raisa Povlovna Kotula, Rn Owner, as its authorized official.

NPPES Registry Identity

NPI1205913613

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameWENDIGO PINES ASSISTED LIVING

Location Address20371 WENDIGO PARK RDGrand Rapids, MN 55744

Mailing Address20371 Wendigo Park RdGrand Rapids, MN 55744 · (218) 326-6900 · Fax (218) 326-6900

Phone(218) 326-6900

Fax(218) 326-6900

Organization SubpartNo

Authorized OfficialRaisa Povlovna KotulaRn Owner · (218) 326-6900

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205913613 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 · 333801

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.

20371 WENDIGO PARK RD, Grand Rapids, MN 55744

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Other Providers at the Same Location NPPES

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

NEW JOURNEY RESIDENCE, LTD

Assisted Living Facility

20371 WENDIGO PARK RD
GRAND RAPIDS, MN 55744

Itasca County (218) 326-6900

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 Wendigo Pines Assisted Living's NPI number?

The NPI number for Wendigo Pines Assisted Living is 1205913613. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Wendigo Pines Assisted Living located?

Wendigo Pines Assisted Living is located at 20371 Wendigo Park Rd, Grand Rapids, MN 55744. The listed phone number is (218) 326-6900.

What is Wendigo Pines Assisted Living'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 Wendigo Pines Assisted Living 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.