Augustana Emerald Care LLC
Organization Active NPI Assisted Living Facility · Shakopee, MN
NPI 1487983326 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1487983326
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 347701 (MN)
- Legal business name
- AUGUSTANA EMERALD CARE LLC
- Practice address
- 1855 10TH Ave W
Shakopee, MN 55379-2021 - Phone
- (952) 233-8811
- NPI assigned
- Dec 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Seelochani Stadtherr
- Title
- Director of Reimbursement
- Phone
- (952) 855-5041
Corporate family (same tax ID) 3
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1029904 | Augustana Emerald Care of Shakopee | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
- Tax ID family
- Augustana Emerald Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 347701 | MN | Yes |
Addresses
Primary practice location
1855 10TH Ave W
Shakopee, MN 55379-2021
Mailing address
1855 10TH Ave W
Shakopee, MN 55379-2021
Phone (952) 233-8811
Other names
- Augustana Emerald Crest of Shakopee
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All providers in Shakopee, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.