NORTHLAND VILLAGE
NPI 1710018122
Assisted Living Facility in Mcgregor, MN

Q: What is Northland Assisted Living LLC's NPI number?

The NPI number for Northland Assisted Living LLC is 1710018122. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Northland Village.

Q: What is Northland Assisted Living LLC's specialty?

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

Active since March 08, 2007

22027 420TH STREET, MCGREGOR, MN 55760(218) 768-3356(218) 768-3379 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Northland Village NPPES

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

NORTHLAND VILLAGE (NPI 1710018122) is a healthcare organization registered as an assisted living facility in Mcgregor, Minnesota and active in the NPI registry since March 2007. The organization lists Tony Sertich, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1710018122

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameNORTHLAND ASSISTED LIVING LLC

Location Address22027 420TH STREETMcgregor, MN 55760-5963

Mailing Address202 W Superior St, Suite 610Duluth, MN 55802-1936 · (218) 723-4040 · Fax (218) 723-4048

Phone(218) 768-3356

Fax(218) 768-3379

Organization SubpartNo

Authorized OfficialTony SertichChief Manager · (218) 723-4040

Enumeration DateMarch 8, 2007

Last NPPES UpdateOctober 26, 2015

✔ NPI 1710018122 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 · 335311

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.

22027 420TH STREET, Mcgregor, MN 55760

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Other Names 1

Doing Business AsNorthland Village

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 Northland Assisted Living LLC's NPI number?

The NPI number for Northland Assisted Living LLC is 1710018122. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Northland Village.

Where is Northland Assisted Living LLC located?

Northland Assisted Living LLC is located at 22027 420th Street, Mcgregor, MN 55760. The listed phone number is (218) 768-3356.

What is Northland Assisted Living 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 Northland Assisted Living LLC was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.