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HOLLY RIDGE MANOR
NPI 1811091036
Assisted Living Facility in Starbuck, MN

Active since September 08, 2006CLIA 24D1057526 · Waiver
500 HOLLY RIDGE DR, STARBUCK, MN 56381(320) 239-4775 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly Ridge Manor NPPES

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

HOLLY RIDGE MANOR (NPI 1811091036) is a healthcare organization registered as an assisted living facility in Starbuck, Minnesota and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Debbie Dawn Schneider, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811091036
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOLLY RIDGE MANOR
Location Address500 HOLLY RIDGE DRStarbuck, MN 56381-2150
Mailing AddressPo Box 40Starbuck, MN 56381-0040 · (320) 239-7104
Phone(320) 239-4775
Organization SubpartNo
Authorized OfficialDebbie Dawn SchneiderAdministrator · (320) 239-7104
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 3, 2007
✔ NPI 1811091036 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 · 333050
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.
500 HOLLY RIDGE DR, Starbuck, MN 56381
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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 24D1057526

Holly Ridge Manor · Starbuck, MN
Active · expires Aug 14, 2026
CLIA Number24D1057526
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorKatelyn Elwood
Laboratory Phone(320) 239-4775
Laboratory LocationHolly Ridge Manor500 Holly Ridge Drive, Starbuck, MN 56381
CLIA data matches this NPI record on: Address 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 Holly Ridge Manor's NPI number?

The NPI number for Holly Ridge Manor is 1811091036. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Holly Ridge Manor located?

Holly Ridge Manor is located at 500 Holly Ridge Dr, Starbuck, MN 56381. The listed phone number is (320) 239-4775.

What is Holly Ridge Manor's specialty?

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

Does Holly Ridge Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1057526) is associated with this NPI, valid through August 14, 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 Holly Ridge Manor was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.