Organization Active NPI

Mill Ridge Commons

  • Assisted Living Facility
  • Cambridge, MN
National Provider Identifier
1942237912
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
20130 Issued in MN
Legal business name
MILL RIDGE COMMONS
Practice address
322 River Hills PL
Cambridge, MN 55008-3759
Phone
(763) 691-6200
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Greg Carlson
Title
Chief Executive Officer
Phone
(763) 691-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 20130 MN Primary

Addresses

Primary practice location

322 River Hills PL
Cambridge, MN 55008-3759

Mailing address

322 Riverhills Place North
Cambridge, MN 55008
Phone (763) 691-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1942237912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RIVERHILLS PLACE NORTH",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "55008",
            "telephone_number": "763-691-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 RIVER HILLS PL",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550083759",
            "telephone_number": "763-691-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL RIDGE COMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "763-691-6200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "20130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.