GLEN CREEK LODGE
NPI 1669842373
Substance Abuse Rehabilitation Facility in Burnsville, MN

Active since October 07, 2015
151 W BURNSVILLE PKWY, SUITE 100, BURNSVILLE, MN 55337(952) 564-3000 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen Creek Lodge NPPES

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

GLEN CREEK LODGE (NPI 1669842373) is a healthcare organization registered as a substance abuse rehabilitation facility in Burnsville, Minnesota and active in the NPI registry since October 2015. The organization lists Brian P Sammon, President, as its authorized official.

NPPES Registry Identity

NPI1669842373
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRIVER RIDGE, LLC
Location Address151 W BURNSVILLE PKWY, SUITE 100Burnsville, MN 55337-2524
Mailing Address5708 Glen AveMinnetonka, MN 55345-6611 · (952) 345-2390
Organization SubpartNo
Authorized OfficialBrian P SammonPresident · (952) 564-3000
Enumeration DateOctober 7, 2015
NPI 1669842373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

151 W BURNSVILLE PKWY, Burnsville, MN 55337

Other Names 1

Other NameGlen Creek Lodge

Other Providers at the Same Location NPPES 3

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

Counselor
151 W BURNSVILLE PKWY, SUITE 100
BURNSVILLE, MN 55337
Behavior Analyst
151 W BURNSVILLE PKWY, SUITE 101
BURNSVILLE, MN 55337
Substance Abuse Rehabilitation Facility
151 W BURNSVILLE PKWY, SUITE 100
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 River Ridge, LLC's NPI number?

The NPI number for River Ridge, LLC is 1669842373. It was assigned to this organization in the NPPES registry on October 7, 2015. The provider is also known as Glen Creek Lodge.

Where is River Ridge, LLC located?

River Ridge, LLC is located at 151 W Burnsville Pkwy Suite 100, Burnsville, MN 55337. The listed phone number is (952) 564-3000.

What is River Ridge, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for River Ridge, LLC was last updated on October 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.