NPIMap

Organization Active NPI

State of Minnesota-Minnesota Management and Budget

  • Skilled Nursing Facility
  • Minneapolis, MN
National Provider Identifier
1295025864
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
Practice address
5101 Minnehaha Ave
Minneapolis, MN 55417-1647
Phone
(612) 548-5957
NPI assigned
Apr 15, 2011
Organization subpart
Yes
Parent organization
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGETAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Elizabeth Johnson
Title
Central Pharmacy, Pharmacist Senior
Phone
(612) 548-5962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 349679 MN
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5101 Minnehaha Ave
Minneapolis, MN 55417-1647

Mailing address

5101 Minnehaha Ave BLDG 10
Minneapolis, MN 55417-1647
Phone (612) 548-5962

Other names 3

  • Minnesota Dept. of Veterans Affairs, MN Veterans Home Minneapolis Doing business as
  • Minnesota Veterans Home - Minneapolis Doing business as
  • Minnesota Veterans Home - Minnespolis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040303000532 MN Part B Supplier - Clinic/Group Practice 1658268677 Receives reassigned benefits from 7 practitioners
3 other NPIs on this enrollment
Practice locations: Fergus Falls, MN; Luverne, MN; Minneapolis, MN; Silver Bay, MN
O20130116000362 MN Part A Provider - Skilled Nursing Facility 1658268677 Practice locations: Minneapolis, MN

Skilled nursing facility certification: CCN 245620

Legal name
STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
Doing business as
MINNESOTA VETERANS HOME-SILVER BAY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 6, 2014
Last certification
Apr 10, 2025
Beds
341
Ownership / control type
State
Multi-facility organization
MN DEPT of Veterans Affairs
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1887 in MN
Enrollment address
5101 Minnehaha Ave
Minneapolis, MN 55417-1647
Nursing home name
MN VETERANS HOME MINNEAPOLIS

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
MN Veterans Home-MPLSCCN 245620
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Jan 6, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
341293.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0892543MN Veterans Home Minneapolis5101 Minnehaha Ave S, Minneapolis, MN 55417Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Correctional Facility -Togo28 organizations share this tax ID, including this one
Part of
Minnesota Correctional Facility -Togo

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

5101 Minnehaha Ave
Minneapolis, MN 55417
Phone (612) 548-5709

56 Outer Dr
Silver Bay, MN 55614
Phone (218) 226-6300

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Douglas J Hughes Individual W-2 Managing EmployeeDeputy Commissioner Jul 5, 2016 100%
Operational/Managerial ControlDeputy Commissioner Jul 5, 2016 100%
Danelle J Donner Individual W-2 Managing EmployeeAdministrator Jan 20, 2021 100%
Troy D Barrick Individual W-2 Managing Employee Jun 1, 2022 100%
Operational/Managerial ControlAdministrator Jun 1, 2022 100%
Nancy F Curtis Individual W-2 Managing Employee Dec 24, 2018 100%

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Behavioral Health Hospital-Fergus FallsFergus Falls, MN, CCN 244013 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 26, 2006
Community Behavioral Health Hospital-AnnandaleAnnandale, MN, CCN 244011 Hospital 5% Or Greater Direct Ownership Interest Aug 8, 2006
CBHH BaxterBaxter, MN, CCN 244015 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 17, 2007
Anoka Metro Regional Treatment CenterAnoka, MN, CCN 244002 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 11, 2008
Community Behavioral Health Hospital BemidjiBemidji, MN, CCN 244014 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 8, 2007
CBHH - RochesterRochester, MN, CCN 244017 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 14, 2006
Child & Adolescent Behavioral Health ServicesWillmar, MN, CCN 244005 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Minnesota Veterans Home - Silver BaySilver Bay, MN, CCN 245628 Skilled nursing facility Operational/Managerial Control (100%) Jul 28, 2008
Interim Healthcare of Treasure Coast, Inc.West Palm Beach, FL, CCN 107237 Home health agency 5% Or Greater Indirect Ownership Interest (7.08%) Oct 29, 2021
Interim Healthcare Hospice - Sacramento AreaGold River, CA, CCN A11783 Hospice 5% Or Greater Indirect Ownership Interest (7.08%) Nov 4, 2021
Interim Healthcare San Jose LLCMandeville, LA, CCN 191681 Hospice 5% Or Greater Indirect Ownership Interest (7.08%) Dec 1, 2021
Interim Healthcare Hospice of AtlantaAtlanta, GA, CCN 851595 Hospice 5% Or Greater Indirect Ownership Interest (7.08%) Feb 17, 2023

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1295025864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE BLDG 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET",
        "enumeration_date": "2011-04-15",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CENTRAL PHARMACY, PHARMACIST SENIOR",
        "authorized_official_telephone_number": "612-548-5962"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "349679",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Dept. of Veterans Affairs, MN Veterans Home Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnesota Veterans Home - Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnesota Veterans Home - Minnespolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.