Lake Ridge Care Center of Buffalo, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

Doing business as

Lake Ridge Assisted Living

Practice address

310 Lake Blvd S
Buffalo, MN 55313-1456

Phone

(952) 855-5041

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Seelochani Stadtherr

Title

Avp, Revenue Cycle Management

Phone

(952) 855-5041

Specialties & licenses 1

Addresses

Other names 1

• Lake Ridge Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lake Ridge Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Ridge Care Center of Buffalo, Inc.

  • Skilled Nursing Facility
  • Buffalo, MN
  • NPI 1174511828
  NPD tax ID

Locations

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1083468235",
    "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": "310 LAKE BLVD S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131456",
            "telephone_number": "952-855-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE RIDGE CARE CENTER OF BUFFALO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kuzma Chiropractic PA
• Kuzma Chiropractic, PA
• Thomas Dugan Kuzma, D.C.
• Thomas Joseph Kuzma Sr., DDS
• Caytlin Lafauci
• Lake Ridge Care Center of Buffalo, Inc.
• Ashley Lace Landers, M.S.
• James Landsberger
• Patricia Ann Landsberger, SLP.D., CCC-SLP
• Cynthia Larson, MD

• Assisted Living Facility in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.