OrganizationActive
Whitewater Retirement Opco LLC
NPI 1003761404 · Assisted Living Facility · Saint Charles, MN
Provider details
- NPI number
- 1003761404
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Ryan, Vp Business Strategy(507) 251-6356
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 W 4th St
Saint Charles, MN 55972-2123
Phone: (507) 932-4062
Street-level locationGet directions
Mailing address
3520 E River Rd Ne
Rochester, MN 55906-5407
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.