CEDAR RIDGE, INC (NPI# 1043424047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043424047 |
| Entity Type | Organization |
| Organization Name | CEDAR RIDGE, INC |
| Practice Address |
11400 Julianne Ave N Stillwater MN 55082-9436 |
| Mailing Address |
550 Main St New Brighton MN 55112-3271 |
| Practice Telephone | 6123267555 |
| Mailing Telephone | 6123267555 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VALERIE BUNDY (CONTROLLER) |
| Authorized Official Telephone | 6123267555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1033826 | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184848202 | Cedar Ridge, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 107 Thicksten Dr, Alma, AR 72921 | 2007-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CEDAR RIDGE, INC. | N950 County Road Kw, Cedar Grove, WI 53013-1237 |
| Washington State Corporations | CEDAR RIDGE, INC. | 415 E Mill Plain Blvd P O Box 1310, Vancouver, WA 98666 |
| Connecticut Business Registrations | CEDAR RIDGE, INC. | Pratt Rd, Plainfld, CT 06374 |
| Street Address |
11400 JULIANNE AVE N |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043436942 | Michael J Smith | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2007-04-18 |
| 1083221584 | Amber Rose Hardtke | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2020-09-29 |
| 1578971289 | Patricia Miller | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2014-07-25 |
| 1790078442 | Stephanie Youngberg | Licensed Practical Nurse | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-26 |
| 1619260684 | Ashley Ann Beck | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-24 |
| 1770876187 | Duane Oliver Koivisto | Licensed Practical Nurse | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-18 |
| 1649563222 | Steven Robert Lefkowich | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-16 |
| 1659664209 | Stephanie Oreen Gilquist | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-16 |
| 1710270392 | Brett Baker | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-16 |
| 1801189485 | Michelle Marie Kellum | Counselor | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629105325 | Starting Point II | Substance Abuse Rehabilitation Facility | 608 Highpoint Dr, Stillwater, OK 74075-1530 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.