Elim Homes, Inc
Organization Active NPI Assisted Living Facility · Princeton, MN
NPI 1003130154 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1003130154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 34436 (MN)
- Legal business name
- ELIM HOMES, INC
- Practice address
- 104 South 8TH Avenue
Princeton, MN 55371-1735 - Phone
- (763) 389-0424
- Fax
- (763) 389-0436
- NPI assigned
- Mar 18, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- ELIM HOMES, INC
Authorized official
- Name
- Seelochani Stadtherr
- Title
- Avp, Revenue Cycle Management
- Phone
- (952) 855-5041
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Elim Homes Inc Dba Pro Rehab
- Part of
- Elim Homes Inc Dba Pro Rehab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 34436 | MN | Yes |
| Assisted Living Facility | 310400000X |
Addresses
Primary practice location
104 South 8TH Avenue
Princeton, MN 55371-1735
Mailing address
7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041
Other names
- Elim Wellspring Assisted Living
NPI Registry JSON
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1003130154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 OHMS LN",
"city": "EDINA",
"state": "MN",
"postal_code": "554392142",
"telephone_number": "952-855-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SOUTH 8TH AVENUE",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553711735",
"telephone_number": "763-389-0424",
"fax_number": "763-389-0436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM HOMES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELIM HOMES, INC",
"enumeration_date": "2010-03-18",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "STADTHERR",
"authorized_official_first_name": "SEELOCHANI",
"authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "952-855-5041"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "34436",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elim Wellspring Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.