OrganizationActive
Walnut Grove Home
NPI 1104603299 · Assisted Living Facility · Burnsville, MN
Provider details
- NPI number
- 1104603299
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jinyi Wu, President(320) 223-9249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13708 Portland Ave
Burnsville, MN 55337-4128
Phone: (320) 223-9249
Street-level locationGet directions
Mailing address
6601 Zircon Ln N
Maple Grove, MN 55311-1371
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.