NPIMap

Organization Active NPI

Augustana Emerald Care LLC

Doing business as Augustana Emerald Crest of Burnsville

  • Assisted Living Facility
  • Burnsville, MN
National Provider Identifier
1669701504
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 Burnsville
Practice address
451 E Travelers TRL
Burnsville, MN 55337-2891
Phone
(952) 890-2652
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

451 E Travelers TRL
Burnsville, MN 55337-2891

Mailing address

451 E Travelers TRL
Burnsville, MN 55337-2891
Phone (952) 890-2652

Other names 1

  • Augustana Emerald Crest of Burnsville Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1029905Augustana Emerald Care of Burnsville451 East Travelers Trail, Burnsville, MN 55337Certificate of waiverAug 24, 2026

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.

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": "1669701504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E TRAVELERS TRL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372891",
            "telephone_number": "952-890-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E TRAVELERS TRL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372891",
            "telephone_number": "952-890-2652"
        }
    ],
    "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 Burnsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Augustana Emerald Crest of Burnsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, 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.
  • 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.

Verify at the official NPI Registry.