Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CITADEL MAHTOMEDI LLC
NPI 1053225698
Assisted Living Facility in Minnetonka, MN

Active since September 30, 2026
5900 CLEARWATER DR STE 500, MINNETONKA, MN 55343(763) 486-9187(612) 360-2331 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Citadel Mahtomedi Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITADEL MAHTOMEDI LLC (NPI 1053225698) is a healthcare organization registered as an assisted living facility in Minnetonka, Minnesota and active in the NPI registry since September 2026. The organization lists Kate Ryg, Medicaid Services Manager, as its authorized official.

NPPES Registry Identity

NPI1053225698
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCITADEL MAHTOMEDI LLC
Location Address5900 CLEARWATER DR STE 500Minnetonka, MN 55343-8961
Mailing Address5900 Clearwater Dr Ste 500Minnetonka, MN 55343-8961 · (763) 486-9187 · Fax (612) 360-2331
Fax(612) 360-2331
Organization SubpartNo
Authorized OfficialKate RygMedicaid Services Manager · (763) 486-9187
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1053225698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
5900 CLEARWATER DR STE 500, Minnetonka, MN 55343

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
5900 CLEARWATER DR STE 500
MINNETONKA, MN 55343
Assisted Living Facility
5900 CLEARWATER DR STE 500
MINNETONKA, MN 55343
Assisted Living Facility
5900 CLEARWATER DR STE 500
MINNETONKA, MN 55343
Assisted Living Facility
5900 CLEARWATER DR STE 500
MINNETONKA, MN 55343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Citadel Mahtomedi LLC's NPI number?

The NPI number for Citadel Mahtomedi LLC is 1053225698. It was assigned to this organization in the NPPES registry on September 30, 2026.

Where is Citadel Mahtomedi LLC located?

Citadel Mahtomedi LLC is located at 5900 Clearwater Dr Ste 500, Minnetonka, MN 55343. The listed phone number is (763) 486-9187.

What is Citadel Mahtomedi LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Citadel Mahtomedi LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.