DIAMOND WILLOW
NPI 1841413754
Assisted Living Facility in Grand Rapids, MN

Q: What is Five Star Living Of Grand Rapids, LLC's specialty?

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

Active since April 10, 2007

949 1-2 SW 11TH AVE, GRAND RAPIDS, MN 55744(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: August 09, 2026.

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About Diamond Willow NPPES

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

DIAMOND WILLOW (NPI 1841413754) is a healthcare organization registered as an assisted living facility in Grand Rapids, Minnesota and active in the NPI registry since April 2007. The organization lists Lynn Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1841413754

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFIVE STAR LIVING OF GRAND RAPIDS, LLC

Location Address949 1-2 SW 11TH AVEGrand Rapids, MN 55744

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 10, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1841413754 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 · 334816

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.

949 1-2 SW 11TH AVE, Grand Rapids, MN 55744

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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 Grand Rapids, LLC's NPI number?

The NPI number for Five Star Living Of Grand Rapids, LLC is 1841413754. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider is doing business as Diamond Willow.

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

Five Star Living Of Grand Rapids, LLC is located at 949 1-2 SW 11th Ave, Grand Rapids, MN 55744. The listed phone number is (218) 625-2316.

What is Five Star Living Of Grand 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 Grand Rapids, LLC 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.