Organization Active NPI

3810 Alder Avenue Opco LLC

  • Assisted Living Facility
  • Eagan, MN
National Provider Identifier
1306735758
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
3810 ALDER AVENUE OPCO LLC
Practice address
3810 Alder LN
Eagan, MN 55122-3831
Phone
(651) 379-2410
Fax
(612) 360-2331
NPI assigned
Jul 1, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLTOWER TRS HOLDCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Kate Ryg
Title
Clinical Reimbursement
Phone
(763) 486-9187

Specialties & licenses 1

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

Addresses

Primary practice location

3810 Alder LN
Eagan, MN 55122-3831

Mailing address

5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961
Phone (763) 486-9187

National Provider Directory

National Provider Directory
Part of
Welltower TRS Holdco LLC

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1306735758",
    "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",
            "telephone_number": "763-486-9187",
            "fax_number": "612-360-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ALDER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223831",
            "telephone_number": "651-379-2410",
            "fax_number": "612-360-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3810 ALDER AVENUE OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER TRS HOLDCO LLC",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "RYG",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CLINICAL REIMBURSEMENT",
        "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 Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.