AUGUSTANA EMERALD CARE LLC (NPI# 1295064137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295064137 |
| Entity Type | Organization |
| Organization Name | AUGUSTANA EMERALD CARE LLC |
| Other Organization Name | AUGUSTANA EMERALD CREST OF VICTORIA |
| Practice Address |
8150 Bavaria Rd Victoria MN 55386-9702 |
| Practice Telephone | 9528567510 |
| Mailing Telephone | 9528567510 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9528555041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 347701 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Augustana Emerald Crest of Victoria | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983326 | Augustana Emerald Care LLC | Assisted Living Facility | 1855 10th Ave W, Shakopee, MN 55379-2021 | 2009-12-23 |
| 1669701504 | Augustana Emerald Care LLC | Assisted Living Facility | 451 E Travelers Trl, Burnsville, MN 55337-2891 | 2009-12-23 |
| 1578892410 | Augustana Emerald Care LLC | Assisted Living Facility | 13401 Lake Street Ext, Minnetonka, MN 55305-4905 | 2009-12-23 |
| Street Address |
8150 BAVARIA RD |
| City | VICTORIA |
| State | MN |
| Zip Code | 55386-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647294 | Nathan Zachary Servey | Chiropractor | 1700 Stieger Lake Lane, Suite 103, Victoria, MN 55386 | 2017-02-07 |
| 1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
| 1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
| 1730481391 | Robert Elmer Brown | Chiropractor | 8000 Rose, Victoria, MN 55386 | 2010-12-02 |
| 1952505323 | Kerber Psychological Services LLC | Community/Behavioral Health | 562 Bavaria Lane, Chaska, MN 55386 | 2007-06-12 |
| 1720182082 | Emily Ann Morisset | Speech-Language Pathologist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1629172986 | Michele Therese Pulvermacher | Speech-Language Pathologist | 1772 Stieger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1093738692 | Active Living Chiropractic P.a. | Clinic/Center | 1550 Arboretum Blvd, Victoria, MN 55386 | 2006-07-25 |
| 1629566302 | Jeannie Marie Farrell | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386 | 2018-04-27 |
| 1477757698 | Katie Marie Skaro | Occupational Therapist | 1772 Stieger Lake Lane, Suite 100, Victoria, MN 55386 | 2007-06-12 |
| Find all providers in zip 55386 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912289356 | Esl Victoria Operations, LLC | Assisted Living Facility | 411 E Larkspur St, Victoria, TX 77904-2661 | 2011-09-12 |
| 1356418420 | Victoria Assisted Living, Ltd. | Assisted Living Facility | 411 E Larkspur St, Victoria, TX 77904-2632 | 2006-11-30 |
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|---|---|---|---|---|
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| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.