Active NPI
Augustana Emerald Care LLC
Doing business as Augustana Emerald Crest of Minnetonka
- Assisted Living Facility
- Minnetonka, MN
National Provider Identifier
1578892410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 347701
- Legal business name
- AUGUSTANA EMERALD CARE LLC
- Doing business as
- Augustana Emerald Crest of Minnetonka
- Practice address
- 13401 Lake Street Ext
Minnetonka, MN 55305-4905 - Phone
- (952) 933-9903
- NPI assigned
- Dec 23, 2009
- Last updated
- Jul 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seelochani Stadtherr
- Title
- Avp, Revenue Cycle Management
- Phone
- (952) 855-5041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 347701 | MN | Primary |
Addresses
Primary practice location
13401 Lake Street Ext
Minnetonka, MN 55305-4905
Mailing address
7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041
Other names 1
- Augustana Emerald Crest of Minnetonka
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1029906 | Emerald Crest | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Augustana Emerald Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Augustana Emerald Crest of Victoria
- Assisted Living Facility
- Victoria, MN
- NPI 1295064137
-
dba Augustana Emerald Crest of Shakopee
- Assisted Living Facility
- Shakopee, MN
- NPI 1487983326
-
dba Augustana Emerald Crest of Burnsville
- Assisted Living Facility
- Burnsville, MN
- NPI 1669701504
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": "1784764800000",
"number": "1578892410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 OHMS LN",
"city": "EDINA",
"state": "MN",
"postal_code": "554392142",
"telephone_number": "952-855-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13401 LAKE STREET EXT",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553054905",
"telephone_number": "952-933-9903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUGUSTANA EMERALD CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "STADTHERR",
"authorized_official_first_name": "SEELOCHANI",
"authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
"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 Minnetonka",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Augustana Emerald Crest of Minnetonka",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.