CLADDAGH SENIOR LIVING, LLC. (NPI# 1417465931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417465931 |
| Entity Type | Organization |
| Organization Name | CLADDAGH SENIOR LIVING, LLC. |
| Practice Address |
508 Kruckow Ave. N. Caledonia MN 55921 |
| Mailing Address |
10368 Murry Valley Dr Houston MN 55943-2612 |
| Practice Telephone | 5077255200 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | LARRY LEDEBUHR (CO-OWNER) |
| Authorized Official Telephone | 5078962213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
508 KRUCKOW AVE. N. |
| City | CALEDONIA |
| State | MN |
| Zip Code | 55921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941686 | Gloria Evelan Schroeder | Technician | 117 N 1st Street, Caledonia, MN 55921 | 2019-09-13 |
| 1760501191 | Milton Joseph Schoeberl | Chiropractor | 114 N Sunset Blvd, Caledonia, MN 55921 | 2007-03-28 |
| 1184780033 | George Francis Frisch | Dentist | 123 W Lincoln St, Caledonia, MN 55921 | 2006-12-28 |
| 1619041027 | Bernard James Krenzke | Chiropractor | 102 E Grove St, Caledonia, MN 55921 | 2006-11-17 |
| 1619051653 | Family Dental Center of Caledonia LLC | Dentist | 120 W Main, Caledonia, MN 55921 | 2006-10-25 |
| 1336174267 | James John Fink | Chiropractor | 103 N. Ramsey, Suite 3, Caledonia, MN 55921 | 2006-07-11 |
| 1104800705 | Herman Dental Clinic Pa | Dentist | 620 N Highway 44/76, Caledonia, MN 55921 | 2005-12-06 |
| 1265439715 | Houston County Auditor | Home Health | 611 Vista Drive, Suite 1, Caledonia, MN 55921 | 2005-06-30 |
| 1194210997 | 425 N Badger Street Caledonia Opco LLC | Skilled Nursing Facility | 425 N Badger St, Caledonia, MN 55921 | 2018-06-25 |
| 1497811335 | Sarah Ruth Herman | Dentist | 123 W Lincoln St, Caledonia, MN 55921 | 2006-12-28 |
| Find all providers in zip 55921 | ||||
| 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 |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 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.