OrganizationActive
Augustana Mercy Care Center LLC
NPI 1528384310 · Skilled Nursing Facility · Moose Lake, MN
Provider details
- NPI number
- 1528384310
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Seelochani Stadtherr, Associate Vp of Revenue Cycle Mgmt(952) 855-5041
- License
- 349655 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
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
710 S Kenwood Ave
Moose Lake, MN 55767-9405
Phone: (218) 485-4481
Street-level locationGet directions
Mailing address
710 S Kenwood Ave
Moose Lake, MN 55767-9405
Other names (DBA / former)
- Doing business as
- Moose Lake Village
Registry dates
- Enumerated
- 2010-04-19
- Last updated
- 2025-11-21
- Certified
- 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.