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DIAMOND WILLOW
NPI 1508080631
Assisted Living Facility in Baxter, MN

Active since April 12, 2007
14398 GRAND OAKS DRIVE, BAXTER, MN 56425(218) 625-2316(218) 625-2338 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diamond Willow NPPES

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

DIAMOND WILLOW (NPI 1508080631) is a healthcare organization registered as an assisted living facility in Baxter, Minnesota and active in the NPI registry since April 2007. The organization lists Lynn Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1508080631
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR LIVING OF BRAINERD, LLC
Location Address14398 GRAND OAKS DRIVEBaxter, MN 56425
Mailing Address11 E Superior St, Suite 508Duluth, MN 55802-2007 · (218) 625-2316 · Fax (218) 625-2338
Phone(218) 625-2316
Fax(218) 625-2338
Organization SubpartNo
Authorized OfficialLynn GevikCoo · (218) 625-2316
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508080631 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 · 333812
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.
14398 GRAND OAKS DRIVE, Baxter, MN 56425
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Other Names 1

Doing Business AsDiamond Willow

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 1508080631. It was assigned to this organization in the NPPES registry on April 12, 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 14398 Grand Oaks Drive, 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.

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 with the weekly NPPES data releases published by CMS.