AUGUSTANA EMERALD CREST OF VICTORIA
NPI 1295064137
Assisted Living Facility in Victoria, MN

Active since December 23, 2009CLIA 24D1029904 · Waiver
8150 BAVARIA RD, VICTORIA, MN 55386(952) 856-7510 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Oct 21, 2019 (2 updates tracked since 2019).

About Augustana Emerald Crest Of Victoria NPPES

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

AUGUSTANA EMERALD CREST OF VICTORIA (NPI 1295064137) is a healthcare organization registered as an assisted living facility in Victoria, Minnesota and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Seelochani Stadtherr, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1295064137
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUGUSTANA EMERALD CARE LLC
Location Address8150 BAVARIA RDVictoria, MN 55386-9702
Mailing Address8150 Bavaria RdVictoria, MN 55386-9702 · (952) 856-7510
Organization SubpartNo
Authorized OfficialSeelochani StadtherrDirector Of Reimbursement · (952) 855-5041
Enumeration DateDecember 23, 2009
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1295064137 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 · 347701
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.
8150 BAVARIA RD, Victoria, MN 55386

Other Names 1

Doing Business AsAugustana Emerald Crest Of Victoria

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 24D1029904

Augustana Emerald Care Of Shakopee · Shakopee, MN
Active · expires Aug 24, 2026
CLIA Number24D1029904
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorJeanne L. Anderson
Laboratory Phone(952) 856-7510
Laboratory LocationAugustana Emerald Care Of Shakopee1855 10th Ave W, Shakopee, MN 55379
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Augustana Emerald Care LLC's NPI number?

The NPI number for Augustana Emerald Care LLC is 1295064137. It was assigned to this organization in the NPPES registry on December 23, 2009. The provider is doing business as Augustana Emerald Crest Of Victoria.

Where is Augustana Emerald Care LLC located?

Augustana Emerald Care LLC is located at 8150 Bavaria Rd, Victoria, MN 55386. The listed phone number is (952) 856-7510.

What is Augustana Emerald Care LLC's specialty?

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

Does Augustana Emerald Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1029904) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Augustana Emerald Care LLC was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.