Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LAKE RIDGE CARE CENTER OF BUFFALO, INC.
NPI 1174511828
Skilled Nursing Facility in Buffalo, MN

Active since October 07, 2005CLIA 24D0689367 · Waiver
310 LAKE BLVD S, BUFFALO, MN 55313(763) 682-1434(763) 682-6419 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Apr 6, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Lake Ridge Care Center Of Buffalo, Inc. NPPES

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

LAKE RIDGE CARE CENTER OF BUFFALO, INC. (NPI 1174511828) is a healthcare organization registered as a skilled nursing facility in Buffalo, Minnesota and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Seelochani Stadtherr, Avp, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1174511828
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE RIDGE CARE CENTER OF BUFFALO, INC.
Location Address310 LAKE BLVD SBuffalo, MN 55313-1456
Mailing Address7171 Ohms LnEdina, MN 55439-2142 · (952) 855-5041
Fax(763) 682-6419
Organization SubpartNo
Authorized OfficialSeelochani StadtherrAvp, Revenue Cycle Management · (952) 855-5041
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1174511828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 327290
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

310 LAKE BLVD S, Buffalo, MN 55313

Other Identifiers 2

Other327290MN · Minnesota State License
Medicaid066663700MN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0689367

Lake Ridge Care Center · Buffalo, MN
Active · expires Aug 31, 2026
CLIA Number24D0689367
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrew Sawatzke
Laboratory Phone(763) 682-1434
Laboratory LocationLake Ridge Care Center310 Lake Blvd South, Buffalo, MN 55313
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
310 LAKE BLVD S
BUFFALO, MN 55313

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 Lake Ridge Care Center Of Buffalo, Inc.'s NPI number?

The NPI number for Lake Ridge Care Center Of Buffalo, Inc. is 1174511828. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is Lake Ridge Care Center Of Buffalo, Inc. located?

Lake Ridge Care Center Of Buffalo, Inc. is located at 310 Lake Blvd S, Buffalo, MN 55313. The listed phone number is (763) 682-1434.

What is Lake Ridge Care Center Of Buffalo, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lake Ridge Care Center Of Buffalo, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0689367) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Ridge Care Center Of Buffalo, Inc. accept?

Health plans from HealthPartners and Medica list Lake Ridge Care Center Of Buffalo, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Ridge Care Center Of Buffalo, Inc. was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.