Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SHERBURN ECONOMIC DEVELOPMENT AUTHORITY
Active
Organization
SHERBURN ECONOMIC DEVELOPMENT AUTHORITY
Active
Other names
Temperance Lake Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
410 FOX LAKE AVE, SHERBURN, MN 56171-9605
(952) 888-2923
Mailing address
410 FOX LAKE AVE, SHERBURN, MN 56171-9605
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
329269
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250473100
—
MN
01
—
329269
HWS
MN
Enumeration date
04/25/2006
Last updated
06/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up