Lake Ridge Care Center Of Buffalo, Inc.
LBN: Lake Ridge Care Center Of Buffalo, Inc.
Lake Ridge Care Center Of Buffalo, Inc. is an health care organization with primary practice located at 310 Lake Blvd S , Buffalo MN 55313-1456. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Lake Ridge Care Center Of Buffalo, Inc. can be contacted via phone (763) 682-1434, or through Stadtherr, Seelochani via phone (952) 855-5041.
Contact Information
Primary practice address
310 Lake Blvd S
Buffalo MN 55313-1456
Phone: (763) 682-1434
Fax: (763) 682-6419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 327290 | Minnesota |
Profile Details
| NPI number | 1174511828 |
|---|---|
| LBN Legal business name | Lake Ridge Care Center Of Buffalo, Inc. |
| DBA Doing business as | |
| Authorized official | Stadtherr, Seelochani |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Apr 6th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511828 | NPPES |
| Minnesota | Other | 327290 | MINNESOTA STATE LICENSE |
| Minnesota | MEDICAID | 066663700 | MINNESOTA STATE LICENSE |
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