OrganizationActive
Northeast Residence, Inc.
NPI 1770628778 · Respite Care · Little Canada, MN
Provider details
- NPI number
- 1770628778
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Corrine Schmidt, Administrator(651) 765-0217
- License
- 801750 (MN)
Specialties & taxonomies
Respite Care Facility
Profile Score
Detailed profile(89/100 index)
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
410 Little Canada Rd E
Little Canada, MN 55117-1629
Phone: (651) 765-0217
Fax: (651) 765-0212
Street-level locationGet directions
Mailing address
410 Little Canada Rd E
Little Canada, MN 55117-1629
Other names (DBA / former)
- Other name
- Northeast Residence, Inc. Respite
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 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.