Active NPI
Clarus Stella Pathway LLC
- Assisted Living Facility
- Waite Park, MN
National Provider Identifier
1730062902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Rugabisha
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Waite Park, MN
- NPI 1376356725
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.