North Memorial Health Care
Organization Active NPI Rehabilitation Hospital Unit · Robbinsdale, MN
NPI 1285657247 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1285657247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- Legal business name
- NORTH MEMORIAL HEALTH CARE
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Phone
- (763) 581-3440
- Fax
- (763) 581-3441
- NPI assigned
- Jul 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH MEMORIAL HEALTHCARE
Authorized official
- Name
- Stephanie R Gale
- Title
- Interim Cfo
- Phone
- (763) 581-4635
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 3
Member organizations 9
Related certifications (CCN) 4
Practitioners 502
-
Alyssa Rose Christensen, PA-C
-
Kareem Rizk, PA
-
Peter D Seebart, PA-C
-
Alyssa Warden, DO
-
Amina Adil, MD
-
Ese Blessing Aghenta, M.B.B.S.
-
Obinna E. Agujiobi, M.D.
-
Abdulqadir Ahmad, D.O
-
Umair Ahmed, M.D.
-
Sharmin Alam, M.D.
-
Afua Amoah, MD
-
Naveen Kumar Anantha, M.D.
-
Katie Maryl Anderson, CNP
-
Kristi Anderson, APRN, CNP
-
Mary Kathleen Anderson, PA-C
-
Wanda W Andrews, PA-C
-
Frederick R Arnason, M.D.
-
Moeed Asghar, MBBS
Affiliated clinicians 1
-
Alyssa Warden, DO
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- North Memorial Medical Center
- Ownership
- Non-profit
- Certified
- Jan 1, 1984
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Hospital certification: CCN 24T001
- Legal name
- NORTH MEMORIAL HEALTH CARE
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Diane Huston |
Corporate Director | Jan 1, 2019 | |
| Ramon Alfredo Pastrano |
Corporate Director | Aug 22, 2024 | |
| Kenya McKnight-Ahad |
Corporate Director | May 1, 2025 | |
| Charlie Weaver |
Corporate Director | May 1, 2025 | |
| Eric Jerome Skalland |
Corporate Director | Aug 22, 2024 | |
| Stephanie Renee Gale |
Corporate Officer |
Dec 2, 2024 | |
| Alexa Chellsen |
W-2 Managing Employee |
Aug 1, 2020 | |
| Laurie Lafontaine |
Operational/Managerial Control | Jul 1, 2016 | |
| Nicholas Kozlak |
Corporate Director | May 1, 2025 | |
| Cameron Keith Berg |
Corporate Director | Aug 22, 2024 | |
| Ted Ferrara |
Operational/Managerial Control | Jul 1, 2016 | |
| John Foley |
W-2 Managing Employee |
Sep 7, 2022 | |
| Andrew J Houlton |
Corporate Director | Feb 18, 2021 | |
| Carolyn Ogland Vukich |
Corporate Director |
Aug 20, 2018 | |
| W-2 Managing Employee |
Aug 20, 2018 | ||
| Reuben Moore |
Corporate Director | Jan 1, 2021 | |
| Trevor W Sawallish |
Corporate Officer |
Sep 1, 2023 | |
| Robert Mahlon Dahl |
Corporate Director | Jan 1, 2018 | |
| Warren Mack |
Operational/Managerial Control | Aug 1, 2013 | |
| Allen Kemp |
Corporate Director | Aug 22, 2024 | |
| Bruce Christensen |
Corporate Director | Jan 1, 2019 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Maple Grove Hospital Corporation |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 15, 2022 Apr 15, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040122000470 | MN | Part B Supplier - Clinic/Group Practice | 0042123028 |
Receives reassigned benefits from 675 practitioners 43 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Maple Grove, MN; Golden Valley, MN; Minneapolis, MN; Minnetonka, MN; Monticello, MN; New Hope, MN; Robbinsdale, MN; Stillwater, MN… |
| O20120316000239 | MN | Part a Provider - Hospital | 0042123028 | Practice locations: Robbinsdale, MN |
National Provider Directory
- Part of
- N Memorial Health Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Yes |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Mailing address
PO Box 735463
Chicago, IL 60673-5463
Phone (763) 581-3440
Other practice location 1
9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-9100
Other names
- North Memorial Health Rehabilitation Therapy Center
Other providers in Robbinsdale, MN
- Go Nishikawa
- Kurt W Nisi
- Matthew Nolan
- Elizabeth Smith Noonan
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
All providers in Robbinsdale, MN · Rehabilitation Hospital Unit in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.