ARBORS AT RIDGES
NPI 1265754980
Assisted Living Facility in Burnsville, MN

Active since February 22, 2010CLIA 24D2099390 · Waiver
13810 COMMUNITY DR, BURNSVILLE, MN 55337(952) 898-4005(952) 435-6686 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arbors At Ridges NPPES

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

ARBORS AT RIDGES (NPI 1265754980) is a healthcare organization registered as an assisted living facility in Burnsville, Minnesota and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Stephan Grygar, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265754980
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEBENEZER RIDGES ASSISTED LIVING
Location Address13810 COMMUNITY DRBurnsville, MN 55337-4593
Mailing Address13810 Community DrBurnsville, MN 55337-4593 · (952) 898-4005 · Fax (952) 435-6686
Fax(952) 435-6686
Organization SubpartYesParent: Ebenezer Society
Authorized OfficialStephan GrygarCfo · (612) 874-3477
Enumeration DateFebruary 22, 2010
NPI 1265754980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MN · 341422
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.
13810 COMMUNITY DR, Burnsville, MN 55337

Other Names 1

Doing Business AsArbors At Ridges

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 24D2099390

Arbors At Ridges · Burnsville, MN
Active · expires Jul 26, 2027
CLIA Number24D2099390
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorJennalyn Jaeger
Laboratory Phone(952) 898-4005
Laboratory LocationArbors At Ridges13897 Community Drive, Burnsville, MN 55337
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Home Health
13810 COMMUNITY DR
BURNSVILLE, MN 55337
Clinic/Center (Adult Day Care)
13810 COMMUNITY DR
BURNSVILLE, MN 55337

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 Ebenezer Ridges Assisted Living's NPI number?

The NPI number for Ebenezer Ridges Assisted Living is 1265754980. It was assigned to this organization in the NPPES registry on February 22, 2010. The provider is doing business as Arbors At Ridges.

Where is Ebenezer Ridges Assisted Living located?

Ebenezer Ridges Assisted Living is located at 13810 Community Dr, Burnsville, MN 55337. The listed phone number is (952) 898-4005.

What is Ebenezer Ridges Assisted Living's specialty?

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

Does Ebenezer Ridges Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2099390) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ebenezer Ridges Assisted Living was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.