Organization Active NPI

Whitewater Retirement Opco LLC

  • Assisted Living Facility
  • Saint Charles, MN
National Provider Identifier
1003761404
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHITEWATER RETIREMENT OPCO LLC
Practice address
402 W 4TH St
Saint Charles, MN 55972-2123
Phone
(507) 932-4062
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan Ryan
Title
VP Business Strategy
Phone
(507) 251-6356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

402 W 4TH St
Saint Charles, MN 55972-2123

Mailing address

3520 E River Rd NE
Rochester, MN 55906-5407

National Provider Directory

National Provider Directory

Locations

3520 E River Rd NE
Rochester, MN 55906
Phone (507) 216-3841

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1003761404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W 4TH ST",
            "city": "SAINT CHARLES",
            "state": "MN",
            "postal_code": "559722123",
            "telephone_number": "507-932-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER RETIREMENT OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "VP BUSINESS STRATEGY",
        "authorized_official_telephone_number": "507-251-6356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.