OrganizationActive
Wildwood Grove
NPI 1184833394 · Assisted Living Facility · Le Roy, MN
Wildwood Grove is a Assisted Living Facility organization in Le Roy, MN (NPI 1184833394).
Provider details
- NPI number
- 1184833394
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gerald Payne, President of Board(507) 324-5260
- License
- 335745 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
410 E Main St
Le Roy, MN 55951-6731
Phone: (507) 324-9515
Fax: (507) 324-5355
Street-level locationGet directions
Mailing address
410 E Main St
Le Roy, MN 55951-6731
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Wildwood Grove's NPI number?
- Wildwood Grove's National Provider Identifier (NPI) is 1184833394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildwood Grove?
- Wildwood Grove is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Wildwood Grove located?
- Wildwood Grove's practice location on file with NPPES is 410 E Main St, Le Roy, MN 55951-6731.
- What is Wildwood Grove's phone number?
- The practice phone number listed in the NPPES registry for Wildwood Grove is (507) 324-9515.
- Who is the authorized official for Wildwood Grove?
- The authorized official listed on Wildwood Grove's NPPES record is Gerald Payne, President of Board. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildwood Grove's NPI active?
- Yes — Wildwood Grove's NPI (1184833394) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.