Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Augustana Mercy Care Center LLC

Organization Assisted Living Facility · NPI 1104143791

Augustana Mercy Care Center LLC is an Assisted Living Facility in Moose Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

710 S Kenwood Ave
Moose Lake, MN 55767-9405
Phone: (218) 485-4481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (MN)

Record details

NPI number1104143791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seelochani Stadtherr — Avp, Revenue Cycle Management · (952) 855-5041
Other names Augustana Kenwood Place; Augustana Kenwood Place; Moose Lake Village Assisted Living - Kenwood
NPI enumeratedApril 23, 2010
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address7171 Ohms Ln, Edina, MN 55439-2142

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