Saint Therese Collaborative, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAINT THERESE COLLABORATIVE, LLC

Doing business as

Saint Therese at St. Odilia
Transitional Care by Saint Therese

Practice address

3300 Oakdale Ave N
4TH Floor
Robbinsdale, MN 55422-2926

Phone

(952) 983-2203

Fax

(952) 224-0991

NPI assigned

Jun 12, 2015

Organization subpart

No

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

Authorized official

Name

Cal M Shelangoski

Title

Cfo

Phone

(952) 283-2204

Specialties & licenses 1

Addresses

Other names 2

• Saint Therese at St. Odilia Doing business as
• Transitional Care by Saint Therese Doing business as

Locations

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1982085221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "STE 103",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-283-2203",
            "fax_number": "952-224-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "address_2": "4TH FLOOR",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "952-983-2203",
            "fax_number": "952-224-0991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Vivian Ave",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551263852",
            "country_code": "US",
            "telephone_number": "651-842-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINT THERESE COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "SHELANGOSKI",
        "authorized_official_first_name": "CAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-283-2204"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Therese at St. Odilia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transitional Care by Saint Therese",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Royale Home Care
• Andrew J Ruppert, MD
• Joshua Ruth, DPT
• Mary Dow Ryerse
• Jeni Rymer
• Tarek A. Salem, M.D.
• Kelley Rae Salo, MD
• Becca Sample, CRNA
• Steven James Sanderson, MD
• Sarah Sanford

• Skilled Nursing Facility in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.