NPI 1265433767 · live from the CMS NPI Registry
Ebenezer Ridges
Skilled Nursing Facility in Burnsville, MN. National Provider Identifier 1265433767, active.
NPI record
| NPI | 1265433767 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 13820 Community Dr, Burnsville, MN 55337 |
| Practice phone | 952-898-8400 |
| Enumerated | August 9, 2005 |
| Last updated | February 25, 2013 |
| Authorized official | Erin Hilligan, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 328249 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.