NPIMap

Organization Active NPI

Augustana Health Care Center of Apple Valley

  • Skilled Nursing Facility
  • Apple Valley, MN
National Provider Identifier
1790733483
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
331631 Issued in MN
Legal business name
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
Practice address
14650 Garrett Ave
Apple Valley, MN 55124-7543
Phone
(952) 236-2500
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 331631 MN Primary

Addresses

Primary practice location

14650 Garrett Ave
Apple Valley, MN 55124-7543

Mailing address

7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041

Other identifiers 1

IdentifierTypeStateIssuer
176622800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060131000389 MN Part A Provider - Skilled Nursing Facility 5092729913 Practice locations: Apple Valley, MN

Skilled nursing facility certification: CCN 245264

Legal name
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
Doing business as
APPLE VALLEY VILLAGE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1983
Last certification
Jul 18, 2024
Beds
162
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Cassia
Organization structure
CorporationNon-profit
Incorporated
Apr 14, 1998 in MN
Enrollment address
14650 Garrett Ave
Apple Valley, MN 55124-7543
Nursing home name
APPLE VALLEY VILLAGE HEALTH CARE CENTER
Affiliated entity
CASSIA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Apple Valley Village Health Care CenterCCN 245264
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
162146.2 residents per day on average
Chain
Cassia16 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
24D0399858Augustana Health Care Center of Apple Valley14650 Garrett Avenue, Apple Valley, MN 55124Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

14650 Garrett Ave
Saint Paul, MN 55124
Phone (952) 236-2000

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Seelochani NMN Stadtherr Individual Corporate OfficerDirector of Reimbursement Jan 1, 2018
Charles Thomas Parks Individual Corporate DirectorBoard of Directors Jan 1, 2018
Augustana Care Organization, Edina, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Gary Albert Wilkerson Individual Corporate DirectorBoard of Directors Jan 1, 2018
Erik J Ellingson Individual Corporate DirectorBoard of Directors Jan 1, 2018
Gerald Thomas Nye Individual Corporate DirectorBoard of Directors Jan 1, 2018
Kathryn Lee Youngquist Individual Corporate OfficerCfo Jan 1, 2018
Cassia Organization, Edina, MN Management services company Operational/Managerial Control Jan 1, 2018
Scott Gerald Ramsdale Individual Corporate DirectorBoard of Directors Jan 1, 2018
Robert Mahlon Dahl Individual Corporate OfficerCeo Jan 1, 2018
David G Shaw Individual W-2 Managing EmployeeAdministrator Jan 1, 2018
Operational/Managerial ControlAdministrator Jan 1, 2018
Matthew Ray Kern Individual Corporate OfficerCoo Jan 1, 2018

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1790733483",
    "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": "14650 GARRETT AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247543",
            "telephone_number": "952-236-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176622800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.