Organization Active NPI

Citadel Southwest Commons LLC

  • Assisted Living Facility
  • Minnetonka, MN
National Provider Identifier
1184538720
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CITADEL SOUTHWEST COMMONS LLC
Practice address
5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961
Phone
(763) 486-9187
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Kate Ryg
Title
Medicaid Services Manager
Phone
(763) 486-9187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961

Mailing address

5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1184538720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CLEARWATER DR STE 500",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553438961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CLEARWATER DR STE 500",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553438961",
            "telephone_number": "763-486-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL SOUTHWEST COMMONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "RYG",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "MEDICAID SERVICES MANAGER",
        "authorized_official_telephone_number": "763-486-9187"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.