OrganizationActive
K&c Residential Services
NPI 1497604995 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Clearwater, MN
Provider details
- NPI number
- 1497604995
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Goedel, Owner(763) 607-1120
Specialties & taxonomies
Residential Treatment 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
835 10th St
Clearwater, MN 55320-4585
Phone: (763) 607-1120
Street-level locationGet directions
Mailing address
835 10th St
Clearwater, MN 55320-4585
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.