Augustana Mercy Care Center LLC
NPI 1104143791 · Assisted Living Facility · Moose Lake, MN
Augustana Mercy Care Center LLC is a Assisted Living Facility organization in Moose Lake, MN (NPI 1104143791).
Provider details
- NPI number
- 1104143791
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Seelochani Stadtherr, Associate Vp of Revenue Cycle Mgmt(952) 855-5041
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES 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
Mailing address
Other names (DBA / former)
- Doing business as
- Augustana Kenwood Place
- Doing business as
- Augustana Kenwood Place
- Doing business as
- Moose Lake Village Assisted Living - Kenwood
Registry dates
- Enumerated
- 2010-04-23
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Augustana Mercy Care Center LLC's NPI number?
- Augustana Mercy Care Center LLC's National Provider Identifier (NPI) is 1104143791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Augustana Mercy Care Center LLC?
- Augustana Mercy Care Center LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Augustana Mercy Care Center LLC located?
- Augustana Mercy Care Center LLC's practice location on file with NPPES is 710 S Kenwood Ave, Moose Lake, MN 55767-9405.
- What is Augustana Mercy Care Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Augustana Mercy Care Center LLC is (218) 485-4481.
- Who is the authorized official for Augustana Mercy Care Center LLC?
- The authorized official listed on Augustana Mercy Care Center LLC's NPPES record is Seelochani Stadtherr, Associate Vp of Revenue Cycle Mgmt. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Augustana Mercy Care Center LLC's NPI active?
- Yes — Augustana Mercy Care Center LLC's NPI (1104143791) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.