4000 Valley Square Inc
NPI 1275627184 · Skilled Nursing Facility · Grand Forks, ND
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
4000 Valley Square Inc is a Skilled Nursing Facility organization in Grand Forks, ND (NPI 1275627184).
Provider details
- NPI number
- 1275627184
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Valley Memorial Homes
- Organization subpart
- Yes
- Authorized official
- Megan Anderson, Administrative Project Coordinator(701) 787-7970
- License
- 1077A (ND)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Country Estates
- Doing business as
- Country Estates
- Doing business as
- Valley Senior Living on 42nd
- Doing business as
- Woodside Village
- Doing business as
- Wheatland Terrace
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2019-08-22
Frequently asked questions
- What is 4000 Valley Square Inc's NPI number?
- 4000 Valley Square Inc's National Provider Identifier (NPI) is 1275627184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 4000 Valley Square Inc?
- 4000 Valley Square Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 4000 Valley Square Inc located?
- 4000 Valley Square Inc's practice location on file with NPPES is 4000 24th Ave S, Grand Forks, ND 58201-8863.
- What is 4000 Valley Square Inc's phone number?
- The practice phone number listed in the NPPES registry for 4000 Valley Square Inc is (701) 787-7500.
- Does 4000 Valley Square Inc accept Medicare?
- 4000 Valley Square Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 4000 Valley Square Inc?
- The authorized official listed on 4000 Valley Square Inc's NPPES record is Megan Anderson, Administrative Project Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 4000 Valley Square Inc's NPI active?
- Yes — 4000 Valley Square Inc's NPI (1275627184) is active in the NPPES registry as of the last update on 2019-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.