PETERSON FAMILY LIVING
NPI 1205050333
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Elk River, MN

Q: What is Peterson Family Living's NPI number?

The NPI number for Peterson Family Living is 1205050333. It was assigned to this organization in the NPPES registry on April 12, 2007.

Q: What is Peterson Family Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since April 12, 2007

12400 RIDGEWOOD DR NW, ELK RIVER, MN 55330(763) 441-8034(763) 441-8034 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peterson Family Living NPPES

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

PETERSON FAMILY LIVING (NPI 1205050333) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Elk River, Minnesota and active in the NPI registry since April 2007. The organization lists Kathie R Peterson, Residential Coordinator, as its authorized official.

NPPES Registry Identity

NPI1205050333

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePETERSON FAMILY LIVING

Location Address12400 RIDGEWOOD DR NWElk River, MN 55330-8221

Mailing Address12400 Ridgewood Dr NwElk River, MN 55330-8221 · (763) 441-8034 · Fax (763) 441-8034

Phone(763) 441-8034

Fax(763) 441-8034

Organization SubpartNo

Authorized OfficialKathie R PetersonResidential Coordinator · (763) 441-8034

Enumeration DateApril 12, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205050333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in MN · 1027767 1 WS

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

12400 RIDGEWOOD DR NW, Elk River, MN 55330

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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 Peterson Family Living's NPI number?

The NPI number for Peterson Family Living is 1205050333. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Peterson Family Living located?

Peterson Family Living is located at 12400 Ridgewood Dr NW, Elk River, MN 55330. The listed phone number is (763) 441-8034.

What is Peterson Family Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Peterson Family Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.