CHESTNUT GROVE
NPI 1386879476
Alzheimer Center (Dementia Center) in Virginia, MN

Q: What is Range Development Company's NPI number?

The NPI number for Range Development Company is 1386879476. It was assigned to this organization in the NPPES registry on May 19, 2009. The provider is doing business as Chestnut Grove.

Q: What is Range Development Company's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since May 19, 2009CLIA 24D2231265 · Waiver

1204 CHESTNUT ST W, VIRGINIA, MN 55792(218) 749-6846(218) 749-6846 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Chestnut Grove NPPES

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

CHESTNUT GROVE (NPI 1386879476) is a healthcare organization registered as an alzheimer center (dementia center) in Virginia, Minnesota and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Randy P. Schroetter, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1386879476

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameRANGE DEVELOPMENT COMPANY

Location Address1204 CHESTNUT ST WVirginia, MN 55792-3445

Mailing Address2229 3rd Ave. E, P.o. Box 786Hibbing, MN 55746-3445 · (218) 263-4157 · Fax (218) 263-8534

Phone(218) 749-6846

Fax(218) 749-6846

Organization SubpartNo

Authorized OfficialRandy P. SchroetterExecutive Director · (218) 263-4157

Enumeration DateMay 19, 2009

Last NPPES UpdateMay 20, 2009

✔ NPI 1386879476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

Licenses✔ Licensed in MN · 1022171-1AFC✔ Licensed in MN · 1022172-1AFC✔ Licensed in MN · 1010513-1AFC✔ Licensed in MN · 1010514-1AFC

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

1204 CHESTNUT ST W, Virginia, MN 55792

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Other Names 1

Doing Business AsChestnut Grove

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 24D2231265

Chestnut Grove · Virginia, MN

Active · expires Aug 1, 2027

CLIA Number24D2231265

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 2, 2025

Certificate Expiration DateAugust 1, 2027

Laboratory DirectorAmanda Klopp

Laboratory Phone(218) 749-6847

Laboratory LocationChestnut Grove1204 Chestnut Street W, Virginia, MN 55792

CLIA data matches this NPI record on: Address Name

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 Range Development Company's NPI number?

The NPI number for Range Development Company is 1386879476. It was assigned to this organization in the NPPES registry on May 19, 2009. The provider is doing business as Chestnut Grove.

Where is Range Development Company located?

Range Development Company is located at 1204 Chestnut St W, Virginia, MN 55792. The listed phone number is (218) 749-6846.

What is Range Development Company's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Range Development Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2231265) is associated with this NPI, valid through August 1, 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 Range Development Company was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.