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AUGUSTANA EMERALD CARE LLC NPI 1669701504


NPI Information

NPI: 1669701504
Provider Name: AUGUSTANA EMERALD CARE LLC

Doing Business As: AUGUSTANA EMERALD CREST OF BURNSVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D1029905

Address:
451 E TRAVELERS TRL
BURNSVILLE, MN
ZIP 55337
Phone: (952) 890-2652
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AUGUSTANA EMERALD CARE LLC is an assisted living facility in Burnsville, MN. The provider is 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. AUGUSTANA EMERALD CARE LLC NPI is 1669701504. The provider is registered as an organization entity type.
The provider Is Doing Business As Augustana Emerald Crest Of Burnsville.

The provider's business location address is:

451 E TRAVELERS TRL
BURNSVILLE, MN
ZIP 55337-891
Phone: (952) 890-2652

The provider's authorized official is Seelochani Stadtherr .
The authorized official title is Director Of Reimbursement and has the following contact phone number (952) 855-5041.

The CLIA number assigned to this NPI record is 24D1029905 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2009 and was last updated on 10/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility347701MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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