FCSL PROCTOR, LLC (NPI# 1992103089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992103089 |
| Entity Type | Organization |
| Organization Name | FCSL PROCTOR, LLC |
| Other Organization Name | DIAMOND WILLOW ASSISTED LIVING OF PROCTOR |
| Practice Address |
921 Old Highway 2 Proctor MN 55810-1750 |
| Mailing Address |
2701 W Superior St Suite 101 Duluth MN 55806-1856 |
| Practice Telephone | 2186245034 |
| Mailing Telephone | 2186258488 |
| Mailing Fax Number | 2186252338 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | NATALIE ZELEZNIKAR (OWNER) |
| Authorized Official Telephone | 2186258488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 370680 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Diamond Willow Assisted Living of Proctor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083012165 | Fcsl Proctor, LLC | Assisted Living Facility | 913 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1609274794 | Fcsl Proctor, LLC | Assisted Living Facility | 919 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1598162646 | Fcsl Proctor, LLC | Assisted Living Facility | 923 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-04 |
| 1447658539 | Fcsl Proctor, LLC | Assisted Living Facility | 915 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| Street Address |
921 OLD HIGHWAY 2 |
| City | PROCTOR |
| State | MN |
| Zip Code | 55810-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1164757282 | Angela Marie Swanstrom | Registered Nurse | 9238 Meadow Street, Duluth, MN 55810 | 2009-10-07 |
| 1154584027 | Golden Oaks Advanced Assisted Living Plus - Proctor | Assisted Living Facility | 23 Waterview Dr, Proctor, MN 55810 | 2008-07-09 |
| 1285739490 | David Lawrence Bopp | Dentist | 225 Second St, Proctor, MN 55810 | 2006-09-13 |
| 1538571831 | Jessica M Downs | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55810 | 2014-05-21 |
| 1245628742 | Andrea Mckay | Specialist/Technologist | 1226 2nd Ave, Proctor, MN 55810-1218 | 2015-01-06 |
| 1194002816 | Anita Caines | Dental Hygienist | 8104 Vinland St, Duluth, MN 55810-1402 | 2011-11-09 |
| 1619350436 | Rolen Cares, LLC | Nursing Care | 204 3rd Ave, Duluth, MN 55810-1617 | 2015-06-30 |
| 1962571810 | Ltc Prescription Providers Inc | Pharmacy | 220 3rd Ave, Proctor, MN 55810-1617 | 2006-11-07 |
| 1083012165 | Fcsl Proctor, LLC | Assisted Living Facility | 913 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| Find all providers in zip 55810 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083012165 | Fcsl Proctor, LLC | Assisted Living Facility | 913 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1609274794 | Fcsl Proctor, LLC | Assisted Living Facility | 919 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1598162646 | Fcsl Proctor, LLC | Assisted Living Facility | 923 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-04 |
| 1154584027 | Golden Oaks Advanced Assisted Living Plus - Proctor | Assisted Living Facility | 23 Waterview Dr, Proctor, MN 55810 | 2008-07-09 |
| 1851427504 | Diamond Willow Living LLC | Assisted Living Facility | 915 Old Highway 2, Proctor, MN 55810-1750 | 2007-02-26 |
| 1447658539 | Fcsl Proctor, LLC | Assisted Living Facility | 915 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
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| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
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| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.