Holly Ridge Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

333050 Issued in 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

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Dawn Schneider

Title

Administrator

Phone

(320) 239-7104

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1811091036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563810040",
            "telephone_number": "320-239-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY RIDGE DR",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812150",
            "telephone_number": "320-239-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY RIDGE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-239-7104"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "333050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Das Pharmaceutical Services Inc (Samuelson Drug Store)
• Laura Deann Femrite, PT
• Glacial Hills Elementary School
• Glacial Ridge Hospital District (Starbuck Medical Center)
• Abbie Hatlestad, MSW, LICSW
• Kathyrn Lynn Hookom
• Johnson Chiropractic and Sports Clinic
• Aaron Michael Johnson, DC
• Michael D Johnson, DC
• Lindsay Majerus, M.S. LPCC

• Assisted Living Facility in Starbuck, MN
• Providers in Starbuck, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.