Holly Ridge Manor
Organization Active NPI Assisted Living Facility · Starbuck, MN
NPI 1811091036 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1811091036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 333050 (MN)
- Legal business name
- HOLLY RIDGE MANOR
- Practice address
- 500 Holly Ridge Dr
Starbuck, MN 56381-2150 - Phone
- (320) 239-4775
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Debbie Dawn Schneider
- Title
- Administrator
- Phone
- (320) 239-7104
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1057526 | Holly Ridge Manor | Certificate of waiver | Aug 14, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 333050 | MN | Yes |
Addresses
Primary practice location
500 Holly Ridge Dr
Starbuck, MN 56381-2150
Mailing address
PO Box 40
Starbuck, MN 56381-0040
Phone (320) 239-7104
Other providers in Starbuck, MN
- Das Pharmaceutical Services Inc
- Laura Deann Femrite
- Glacial Hills Elementary School
- Glacial Ridge Hospital District
- Abbie Hatlestad
- Kathyrn Lynn Hookom
- Johnson Chiropractic and Sports Clinic
- Aaron Michael Johnson
- Michael D Johnson
- Lindsay Majerus
All providers in Starbuck, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.