Organization Active NPI

Ridgewell Living LLC

  • Community/Behavioral Health Agency
  • Roseville, MN
National Provider Identifier
1801767926
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIDGEWELL LIVING LLC
Practice address
2353 Rice St Ste 203
Roseville, MN 55113-3775
Phone
(763) 237-5555
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Valentine Tazoh
Title
Owner
Phone
(763) 237-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2353 Rice St Ste 203
Roseville, MN 55113-3775

Mailing address

2353 Rice St Ste 203
Roseville, MN 55113-3775

National Provider Directory

National Provider Directory
Tax ID family
Ridgewell Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1801767926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 203",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 203",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133775",
            "telephone_number": "763-237-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWELL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "TAZOH",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-237-5555"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.