Organization Active NPI

Clarus Stella Pathway LLC

  • Assisted Living Facility
  • Waite Park, MN
National Provider Identifier
1730062902
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CLARUS STELLA PATHWAY LLC
Doing business as
Clarus Stella Pathway LLC
Practice address
1359 Heritage LN
Waite Park, MN 56387-4510
Phone
(515) 473-8067
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Richard RugabishaNPI 1376356725
Title
Executive Director
Phone
(515) 473-8067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1359 Heritage LN
Waite Park, MN 56387-4510

Mailing address

1359 Heritage LN
Waite Park, MN 56387-4510
Phone (515) 473-8067

Other names 1

  • Clarus Stella Pathway LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1730062902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 HERITAGE LN",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563874510",
            "telephone_number": "515-473-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 HERITAGE LN",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563874510",
            "telephone_number": "515-473-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARUS STELLA PATHWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "RUGABISHA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-473-8067"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarus Stella Pathway LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.