Family Residential Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAMILY RESIDENTIAL CARE LLC

Practice address

6937 94TH St S
Cottage Grove, MN 55016-3951

Phone

(651) 440-8312

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terecha Abebe Damesse, RNNPI 1467312751

Title

Owner

Phone

(651) 440-8312

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terecha Abebe Damesse, RN

  • Registered Nurse
  • Cottage Grove, MN
  • NPI 1467312751
  NPD (past) Authorized official

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1114825817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6937 94TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163951",
            "telephone_number": "651-440-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 94TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163951",
            "telephone_number": "651-440-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "DAMESSE",
        "authorized_official_first_name": "TERECHA",
        "authorized_official_middle_name": "ABEBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-440-8312",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cottage Grove, MN
• Providers in Cottage Grove, 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 Oct 30, 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.