NPIMap

Augustana Emerald Care LLC

Organization Active NPI Assisted Living Facility · Burnsville, MN

NPI 1669701504 · NPPES record last updated Apr 6, 2023

Key facts

NPI
1669701504
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
347701 (MN)
Legal business name
AUGUSTANA EMERALD CARE LLC
Practice address
451 E Travelers TRL
Burnsville, MN 55337-2891
Phone
(952) 890-2652
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

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

National Provider Directory

Tax ID family
Augustana Emerald Care LLC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347701 MN Yes

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

  • Augustana Emerald Crest of Burnsville Doing business as

Other providers in Burnsville, MN

All providers in Burnsville, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.