Duluth Regional Care Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

8043741RS Issued in MN

Legal business name

DULUTH REGIONAL CARE CENTER

Practice address

5629 Grand Avenue
Duluth, MN 55807

Phone

(218) 722-8180

Fax

(218) 727-9555

NPI assigned

Dec 13, 2006

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Abigail Stubblefield

Title

Accounts Receivable Coordinator

Phone

(218) 722-8180

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Ann Nelson, R.N.

  • Registered Nurse
  • Duluth, MN
  • NPI 1871727263
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1326109174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 GRAND AVENUE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55807",
            "telephone_number": "218-722-8180",
            "fax_number": "218-727-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 GRAND AVENUE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55807",
            "telephone_number": "218-722-8180",
            "fax_number": "218-727-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH REGIONAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE COORDINATOR",
        "authorized_official_telephone_number": "218-722-8180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "8006772RS",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "8006732RS",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "80038442RS",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "8043741RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duluth Nursing and Rehabilitation Center, LLC (Bayshore Residence and Rehabilitation Center)
• Duluth Nursing and Rehabilitation Center, LLC (Bayshore Residence and Rehabilitation Center)
• Duluth Perinatal, PLLC
• Duluth Psychological Clinic Inc
• Duluth Public Schools Academy
• Duluth Soma, PLLC
• Duluth Surgical Suites LLC
• Duluth Surgical Suites LLC
• Duluthcare
• Duluthtms, LLC

• Intellectual Disabilities Intermediate Care Facility in Duluth, MN
• Providers in Duluth, MN by specialty
• Intellectual Disabilities Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.