Organization Active NPI

Augustana Chapel View Homes, Inc.

  • Skilled Nursing Facility
  • Minneapolis, MN
National Provider Identifier
1023066867
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328430 Issued in MN
Legal business name
AUGUSTANA CHAPEL VIEW HOMES, INC.
Practice address
1007 E 14TH St
Minneapolis, MN 55404-1314
Phone
(612) 238-5241
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Seelochani Stadtherr
Title
Director of Reimbursement
Phone
(952) 855-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328430 MN Primary

Addresses

Primary practice location

1007 E 14TH St
Minneapolis, MN 55404-1314

Mailing address

1007 E 14TH St
Minneapolis, MN 55404-1314
Phone (612) 238-5241

Other identifiers 1

IdentifierTypeStateIssuer
159540700MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1023066867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E 14TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041314",
            "telephone_number": "612-238-5241",
            "fax_number": "612-333-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E 14TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041314",
            "telephone_number": "612-238-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA CHAPEL VIEW HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159540700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.