Lake Ridge Care Center of Buffalo, Inc.
NPI 1174511828 · Skilled Nursing Facility · Buffalo, MN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Ridge Care Center of Buffalo, Inc. is a Skilled Nursing Facility organization in Buffalo, MN (NPI 1174511828).
Provider details
- NPI number
- 1174511828
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Seelochani Stadtherr, Senior Director of Reimbursement(952) 855-5041
- License
- 327290 (MN)
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
20 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
Registry dates
- Enumerated
- 2005-10-07
- Last updated
- 2023-04-06
- Certified
- 2023-04-06
Frequently asked questions
- What is Lake Ridge Care Center of Buffalo, Inc.'s NPI number?
- Lake Ridge Care Center of Buffalo, Inc.'s National Provider Identifier (NPI) is 1174511828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Ridge Care Center of Buffalo, Inc.?
- Lake Ridge Care Center of Buffalo, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Ridge Care Center of Buffalo, Inc. located?
- Lake Ridge Care Center of Buffalo, Inc.'s practice location on file with NPPES is 310 Lake Blvd S, Buffalo, MN 55313-1456.
- What is Lake Ridge Care Center of Buffalo, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Ridge Care Center of Buffalo, Inc. is (763) 682-1434.
- Does Lake Ridge Care Center of Buffalo, Inc. accept Medicare?
- Lake Ridge Care Center of Buffalo, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Ridge Care Center of Buffalo, Inc.?
- The authorized official listed on Lake Ridge Care Center of Buffalo, Inc.'s NPPES record is Seelochani Stadtherr, Senior Director of Reimbursement. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Ridge Care Center of Buffalo, Inc.'s NPI active?
- Yes — Lake Ridge Care Center of Buffalo, Inc.'s NPI (1174511828) is active in the NPPES registry as of the last update on 2023-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.