Peterson Family Living
NPI 1205050333 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Elk River, MN
Peterson Family Living is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Elk River, MN (NPI 1205050333).
Provider details
- NPI number
- 1205050333
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathie Peterson, Residential Coordinator(763) 441-8034
- License
- 1027767 1 WS (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 1027767 1 WS (MN)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Peterson Family Living's NPI number?
- Peterson Family Living's National Provider Identifier (NPI) is 1205050333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Family Living?
- Peterson Family Living is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Peterson Family Living located?
- Peterson Family Living's practice location on file with NPPES is 12400 Ridgewood Dr Nw, Elk River, MN 55330-8221.
- What is Peterson Family Living's phone number?
- The practice phone number listed in the NPPES registry for Peterson Family Living is (763) 441-8034.
- Who is the authorized official for Peterson Family Living?
- The authorized official listed on Peterson Family Living's NPPES record is Kathie Peterson, Residential Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Family Living's NPI active?
- Yes — Peterson Family Living's NPI (1205050333) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.