CEDAR RIDGE LLC


Address: 11400 Julianne Ave North, Stillwater, MN 55082
Phone: 6514263300

CEDAR RIDGE LLC (NPI# 1457485849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457485849
Entity Type Organization
Organization Name CEDAR RIDGE LLC
Other Organization Name CEDAR RIDGE
Practice Address 11400 Julianne Ave North
Stillwater
MN 55082
Mailing Address 550 Main Street
Suite 230
New Brighton
MN 55112
Practice Telephone 6514263300
Practice Fax Number 6514260419
Mailing Telephone 6123267600
Mailing Fax Number 6516313231
Enumeration Date 2007-03-15
Last Update Date 2008-09-16
Authorized Official Name PAUL LINDEMAN (DIRECTOR REVENUE CYCLE MGMT)
Authorized Official Telephone 6123267566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
806273 MN Behavioral Health & Social Service Providers
N 324500000X Substance Abuse Rehabilitation Facility 10338261DS MN Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility 8062731CDT MN Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Cedar Ridge Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Cedar Ridge LLC 251 E 7th Ave, Durango, CO 81301

Office Location

Street Address 11400 JULIANNE AVE NORTH
City STILLWATER
State MN
Zip Code 55082

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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629105325 Starting Point II Substance Abuse Rehabilitation Facility 608 Highpoint Dr, Stillwater, OK 74075-1530 2007-02-28
1043424047 Cedar Ridge, Inc Substance Abuse Rehabilitation Facility 11400 Julianne Ave N, Stillwater, MN 55082-9436 2007-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1730791393 Crecer Services Substance Abuse Rehabilitation Facility 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 2020-08-17
1801405584 Bridge Recovery LLC Substance Abuse Rehabilitation Facility 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 2020-07-28
1710505821 Rrecovery Services Substance Abuse Rehabilitation Facility 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 2020-07-06
1912520966 Avenues, LLC Substance Abuse Rehabilitation Facility 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 2020-05-26
1962022939 Valley View Recovery Center Inc. Substance Abuse Rehabilitation Facility 31591 64th Ave, Cannon Falls, MN 55009-4296 2020-04-20
1801420039 Recovery Center LLC Substance Abuse Rehabilitation Facility 109 W James St, Paynesville, MN 56362-1216 2020-02-26
1336772425 Northern Minnesota Addiction Wellness Center Substance Abuse Rehabilitation Facility 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 2020-02-17
1386277622 Community of Recovering People Substance Abuse Rehabilitation Facility 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 2020-02-14
1992366645 One Touch of Christ Evangelistic Ministries Substance Abuse Rehabilitation Facility 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 2019-06-24
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Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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