DIAMOND WILLOW ASSISTED LIVING
NPI 1629250063
Assisted Living Facility in Park Rapids, MN

Active since November 28, 2007
911 CROCUS HILL STREET, BIRCH PARK SUITES, PARK RAPIDS, MN 56470(218) 625-2316(218) 625-2338 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diamond Willow Assisted Living NPPES

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

DIAMOND WILLOW ASSISTED LIVING (NPI 1629250063) is a healthcare organization registered as an assisted living facility in Park Rapids, Minnesota and active in the NPI registry since November 2007. The organization lists Lynn Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1629250063
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR LIVING OF PARK RAPIDS, LLC
Location Address911 CROCUS HILL STREET, BIRCH PARK SUITESPark Rapids, MN 56470
Mailing Address11 E Superior St, Suite 230Duluth, MN 55802-2007 · (218) 625-2316 · Fax (218) 625-2338
Fax(218) 625-2338
Organization SubpartYesParent: Five Star Living, Llc
Authorized OfficialLynn GevikCoo · (218) 625-2316
Enumeration DateNovember 28, 2007
NPI 1629250063 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 · 336724
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.
911 CROCUS HILL STREET, Park Rapids, MN 56470

Other Names 1

Doing Business AsDiamond Willow Assisted Living

Other Providers at the Same Location NPPES

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

Assisted Living Facility
911 CROCUS HILL STREET
PARK RAPIDS, MN 56470

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 Park Rapids, LLC's NPI number?

The NPI number for Five Star Living Of Park Rapids, LLC is 1629250063. It was assigned to this organization in the NPPES registry on November 28, 2007. The provider is doing business as Diamond Willow Assisted Living.

Where is Five Star Living Of Park Rapids, LLC located?

Five Star Living Of Park Rapids, LLC is located at 911 Crocus Hill Street Birch Park Suites, Park Rapids, MN 56470. The listed phone number is (218) 625-2316.

What is Five Star Living Of Park Rapids, 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 Park Rapids, LLC was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.