NPIMap

Organization Active NPI

Augustana Emerald Care LLC

Doing business as Augustana Emerald Crest of Victoria

  • Assisted Living Facility
  • Victoria, MN
National Provider Identifier
1295064137
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347701 Issued in MN
Legal business name
AUGUSTANA EMERALD CARE LLC
Doing business as
Augustana Emerald Crest of Victoria
Practice address
8150 Bavaria Rd
Victoria, MN 55386-9702
Phone
(952) 856-7510
NPI assigned
Dec 23, 2009
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Seelochani Stadtherr
Title
Director of Reimbursement
Phone
(952) 855-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347701 MN Primary

Addresses

Primary practice location

8150 Bavaria Rd
Victoria, MN 55386-9702

Mailing address

8150 Bavaria Rd
Victoria, MN 55386-9702
Phone (952) 856-7510

Other names 1

  • Augustana Emerald Crest of Victoria Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Augustana Emerald Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8150 Bavaria Rd
Victoria, MN 55386
Phone (952) 856-7510

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1295064137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 BAVARIA RD",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869702",
            "telephone_number": "952-856-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 BAVARIA RD",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869702",
            "telephone_number": "952-856-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA EMERALD CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "347701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augustana Emerald Crest of Victoria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Augustana Emerald Crest of Victoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.