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GOOD SHEPHERD MEMORY LOSS COTTAGES
NPI 1396807962
Alzheimer Center (Dementia Center) in Sauk Rapids, MN

Active since December 13, 2006
307 11TH ST N, SAUK RAPIDS, MN 56379(320) 252-6525(320) 259-3463 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Good Shepherd Memory Loss Cottages NPPES

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

GOOD SHEPHERD MEMORY LOSS COTTAGES (NPI 1396807962) is a healthcare organization registered as an alzheimer center (dementia center) in Sauk Rapids, Minnesota and active in the NPI registry since December 2006. The organization lists Michael Stordahl, Administrator Ceo, as its authorized official.

NPPES Registry Identity

NPI1396807962
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameGOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC.
Location Address307 11TH ST NSauk Rapids, MN 56379-2184
Mailing Address1115 4th Ave NSauk Rapids, MN 56379-2201 · (320) 252-6525 · Fax (320) 259-3463
Phone(320) 252-6525
Fax(320) 259-3463
Organization SubpartNo
Authorized OfficialMichael StordahlAdministrator Ceo · (320) 252-6525
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1396807962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in MN · 333736
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X
307 11TH ST N, Sauk Rapids, MN 56379
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Other Names 2

Doing Business AsGood Shepherd Memory Loss Cottages
Doing Business AsGood Shepherd Cottages

Other Identifiers 1

Medicaid1396807962MN

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 Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc.'s NPI number?

The NPI number for Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc. is 1396807962. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Good Shepherd Memory Loss Cottages and Good Shepherd Cottages.

Where is Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc. located?

Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc. is located at 307 11th St N, Sauk Rapids, MN 56379. The listed phone number is (320) 252-6525.

What is Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc. was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.