NPIMap

Organization Active NPI

Cardigan Ridge Senior Living

  • Assisted Living Facility
  • Saint Paul, MN
National Provider Identifier
1215510037
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARDIGAN RIDGE SENIOR LIVING
Practice address
3300 Rice St
Saint Paul, MN 55126-4614
Phone
(651) 484-8484
NPI assigned
Apr 29, 2021
Organization subpart
Yes
Parent organization
ELK RIVER SENIOR CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Shoshana Friedler
Title
Billing Supervisor
Phone
(612) 578-2432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3300 Rice St
Saint Paul, MN 55126-4614

Mailing address

820 Lilac Dr N
Golden Valley, MN 55422-4700

Other names 1

  • Cardigan Ridge Senior Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bel Rae Senior Living3 organizations share this tax ID, including this one
Part of
Cardigan Ridge Senior Living

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1215510037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551264614",
            "telephone_number": "651-484-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIGAN RIDGE SENIOR LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELK RIVER SENIOR CARE, LLC",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "FRIEDLER",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "612-578-2432"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardigan Ridge Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.