DIAMOND WILLOW
NPI 1851427504
Assisted Living Facility in Proctor, MN

Q: What is Diamond Willow Living LLC's NPI number?

The NPI number for Diamond Willow Living LLC is 1851427504. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Diamond Willow.

Q: What is Diamond Willow Living LLC's specialty?

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

Active since February 26, 2007

915 OLD HIGHWAY 2, PROCTOR, MN 55810(218) 625-2316(218) 727-9559 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 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 1851427504) is a healthcare organization registered as an assisted living facility in Proctor, Minnesota and active in the NPI registry since February 2007. The organization lists Lynn Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1851427504

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameDIAMOND WILLOW LIVING LLC

Location Address915 OLD HIGHWAY 2Proctor, MN 55810-1750

Mailing Address11 E Superior St, Suite 508Duluth, MN 55802-2007 · (218) 625-2316 · Fax (218) 727-9559

Phone(218) 625-2316

Fax(218) 727-9559

Organization SubpartNo

Authorized OfficialLynn GevikCoo · (218) 625-2316

Enumeration DateFebruary 26, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1851427504 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 · 333803

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.

915 OLD HIGHWAY 2, Proctor, MN 55810

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Other Names 1

Doing Business AsDiamond Willow

Other Identifiers 2

Other540106MN · First Plan Of Mn

Other49-80621MN · Medica

Other Providers at the Same Location NPPES

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

FCSL PROCTOR, LLC

Assisted Living Facility

915 OLD HIGHWAY 2
PROCTOR, MN 55810

St. Louis County (218) 628-3535

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 Diamond Willow Living LLC's NPI number?

The NPI number for Diamond Willow Living LLC is 1851427504. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Diamond Willow.

Where is Diamond Willow Living LLC located?

Diamond Willow Living LLC is located at 915 Old Highway 2, Proctor, MN 55810. The listed phone number is (218) 625-2316.

What is Diamond Willow 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 Diamond Willow Living 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.