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DIAMOND WILLOW ASSISTED LIVING
NPI 1639347354
Assisted Living Facility in Cloquet, MN

Active since February 15, 2008
130 NORTH RD, CLOQUET, MN 55720(218) 625-2316(218) 625-2338 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 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 1639347354) is a healthcare organization registered as an assisted living facility in Cloquet, Minnesota and active in the NPI registry since February 2008. The organization lists Lynn Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1639347354
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR LIVING OF CLOQUET LLC
Location Address130 NORTH RDCloquet, MN 55720-1171
Mailing Address11 E Superior St, Suite 230Duluth, MN 55802-2007 · (218) 625-2316 · Fax (218) 625-2338
Phone(218) 625-2316
Fax(218) 625-2338
Organization SubpartYesParent: Five Star Assisted Living Llc
Authorized OfficialLynn GevikCoo · (218) 625-2316
Enumeration DateFebruary 15, 2008
✔ NPI 1639347354 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 · 336184
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.
130 NORTH RD, Cloquet, MN 55720
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Other Names 1

Doing Business AsDiamond Willow Assisted Living

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 Cloquet LLC's NPI number?

The NPI number for Five Star Living Of Cloquet LLC is 1639347354. It was assigned to this organization in the NPPES registry on February 15, 2008. The provider is doing business as Diamond Willow Assisted Living.

Where is Five Star Living Of Cloquet LLC located?

Five Star Living Of Cloquet LLC is located at 130 North Rd, Cloquet, MN 55720. The listed phone number is (218) 625-2316.

What is Five Star Living Of Cloquet 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 Cloquet LLC was last updated on February 15, 2008. 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.