Roers Senior Living Buffalo LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROERS SENIOR LIVING BUFFALO LLC

Practice address

150 Division Street East
Buffalo, MN 55313

Phone

(612) 439-2510

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Padgett

Title

Director of Revenue Cycle

Phone

(612) 827-8357

Specialties & licenses 1

Addresses

Other names 1

• Havenwood of Buffalo Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1235757667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DIVISION STREET EAST",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "55313",
            "telephone_number": "612-439-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DIVISION STREET EAST",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "55313",
            "telephone_number": "612-439-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROERS SENIOR LIVING BUFFALO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "612-827-8357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Division",
            "affiliation": "N",
            "endpointDescription": "Division",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Division",
            "address_1": "150 Division Street East",
            "city": "Buffalo",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Havenwood of Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Michael Riehm
• Bradford Robinson, S.L.P
• Debra Marie Robinson, MSW, LICSW
• John Frank Robinson, MD
• Wynette Alice Rodriguez
• Natalie Ruth Roeser, M.D.
• Suzanne Renee Rolf, LPCC
• Bruce A Rorem, MD
• Kellie Elena Roseberg, DDS
• Ashley Russell, RN

• 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 13, 2020; 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.