Minnesota Masonic Home Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

328757 Issued in MN

Legal business name

MINNESOTA MASONIC HOME CARE CENTER

Practice address

11501 Masonic Home Dr
Bloomington, MN 55437-3661

Phone

(952) 948-7000

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Sue Mozk

Title

Cfo

Phone

(952) 948-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245343

Legal name

MINNESOTA MASONIC HOME CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1986

Last certification

Dec 18, 2024

Beds

194

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1908 in MN

Enrollment address

11501 Masonic Home Dr
Bloomington, MN 55437-3661

Nursing home name

MINNESOTA MASONIC HOME CARE CENTER

Listed as

Minnesota Masonic Home Care CenterCCN 245343 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

194160.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 22

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

Practitioners 5

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

• Samuel Asante-Buabeng, M.D.

  • Family Medicine Physician
  • Prior Lake, MN
  • NPI 1558520361
  NPD (past)
• Annika Crosby, MD

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1831158294
  NPD (past)
• Scott J Fairbairn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1174553747
  NPD (past)
• Neha Sharma, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Eagan, MN
  • NPI 1871866095
  NPD (past)
• Daniel J Stein, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Excelsior, MN
  • NPI 1669449674
  NPD (past)

Affiliated clinicians 3

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

• Samuel Asante-Buabeng, M.D.

  • Family Medicine Physician
  • Prior Lake, MN
  • NPI 1558520361

  Nursing home

  Care Compare affiliation
• Neha Sharma, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Eagan, MN
  • NPI 1871866095

  Nursing home

  Care Compare affiliation
• Daniel J Stein, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Excelsior, MN
  • NPI 1669449674

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1346235181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 MASONIC HOME DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373661",
            "telephone_number": "952-948-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 MASONIC HOME DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373661",
            "telephone_number": "952-948-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA MASONIC HOME CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MOZK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-948-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511542600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.