Healthcare Provider Details

I. General information

NPI: 1972924736
Provider Name (Legal Business Name): AUGUSTANA CHAPEL VIEW HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2013
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 MINNETONKA MILLS RD
HOPKINS MN
55343-7211
US

IV. Provider business mailing address

7171 OHMS LN
EDINA MN
55439-2142
US

V. Phone/Fax

Practice location:
  • Phone: 612-238-5126
  • Fax:
Mailing address:
  • Phone: 952-855-5041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number361870
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SEELOCHANI STADTHERR
Title or Position: AVP, REVENUE CYCLE MANAGEMENT
Credential:
Phone: 952-855-5041