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DIAMOND WILLOW
NPI 1902093073
Assisted Living Facility in Detroit Lakes, MN

Active since October 02, 2007
1558 RANDOLPH RD, DETROIT LAKES, MN 56501(218) 625-2316(218) 625-2338 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diamond Willow NPPES

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

DIAMOND WILLOW (NPI 1902093073) is a healthcare organization registered as an assisted living facility in Detroit Lakes, Minnesota and active in the NPI registry since October 2007. The organization lists Lymm Gevik, Coo, as its authorized official.

NPPES Registry Identity

NPI1902093073
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR LIVING LLC
Location Address1558 RANDOLPH RDDetroit Lakes, MN 56501-3745
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 SubpartNo
Authorized OfficialLymm GevikCoo · (218) 625-2316
Enumeration DateOctober 2, 2007
✔ NPI 1902093073 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.
1558 RANDOLPH RD, Detroit Lakes, MN 56501
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Other Names 1

Doing Business AsDiamond Willow

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 DETROIT LAKES, LLC
Assisted Living Facility
1558 RANDOLPH RD
DETROIT LAKES, MN 56501
Becker County (218) 846-0825

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 LLC's NPI number?

The NPI number for Five Star Living LLC is 1902093073. It was assigned to this organization in the NPPES registry on October 2, 2007. The provider is doing business as Diamond Willow.

Where is Five Star Living LLC located?

Five Star Living LLC is located at 1558 Randolph Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 625-2316.

What is Five Star 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 Five Star Living LLC was last updated on October 2, 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.