NPIMap

Organization Active NPI

PHS Maranatha Inc.

  • Skilled Nursing Facility
  • Brooklyn Center, MN
National Provider Identifier
1346245446
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328432 Issued in MN
Legal business name
PHS MARANATHA INC.
Doing business as
PHS Maranatha Inc.
Practice address
5409 69TH Ave N
Brooklyn Center, MN 55429-1505
Phone
(763) 549-9600
Fax
(763) 549-9636
NPI assigned
Jun 15, 2005
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Jon Tranby
Title
Director
Phone
(651) 631-6102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 328432 MN
Skilled Nursing Facility 314000000X 328432 MN Primary

Addresses

Primary practice location

5409 69TH Ave N
Brooklyn Center, MN 55429-1505

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6432

Other identifiers 2

IdentifierTypeStateIssuer
731342000MedicaidMN
NH0032OtherMNUCARE

Other names 2

  • PHS Maranatha Inc. Doing business as
  • Maranatha Care Center Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL HAMLAP430 Health Information Exchange (HIE)
Other URL HAMPLAP430 Health Information Exchange (HIE)
Other URL HAMLAP430 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000357 MN Part A Provider - Skilled Nursing Facility 0143237370 Practice locations: Brooklyn Center, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346245446. Details of each certification follow.

Skilled nursing facility certification: CCN 245462

Legal name
PHS MARANATHA INC
Doing business as
MARANATHA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1987
Last certification
Apr 3, 2025
Beds
97
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Oct 16, 1959 in MN
Enrollment address
5409 69TH Ave N
Brooklyn Center, MN 55429-1505
Nursing home name
MARANATHA CARE CENTER
Affiliated entity
PRESBYTERIAN HOMES & SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maranatha Care CenterCCN 245462 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Apr 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9790.8 residents per day on average
Chain
Presbyterian Homes & Services21 facilities in the chain

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
24D0402722Maranatha Care Center5409 69TH Ave North, Minneapolis, MN 55429Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5409 69th Ave N
Brooklyn Center, MN 55429
Phone (763) 549-9600

5401 69th Ave N
Minneapolis, MN 55429
Phone (763) 549-9600

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Anchor Bank, N.a Organization, Blaine, MN Corporation, Financial institution, For-profit 5% Or Greater Mortgage Interest Jul 11, 2012 70%
5% Or Greater Security Interest Jul 11, 2012 70%
Madeline C Kurvers Individual W-2 Managing EmployeeCampus Administrator May 23, 2022 100%
Mark T Meyer Individual Corporate OfficerChief Financial Officer Dec 30, 2005 50%
Corporate DirectorMember of Board of Directors Dec 30, 2005 33%
Amy K Floy Individual W-2 Managing EmployeeCampus Administrator Jul 3, 2021
Daniel a Lindh Individual Corporate OfficerChief Executive Officer Dec 30, 2006 50%
Corporate DirectorMember of Board of Directors Dec 30, 2005 33%
Old National Bank Organization, Blaine, MN Corporation, Financial institution 5% Or Greater Mortgage Interest Jul 11, 2012 76%
5% Or Greater Security Interest Jul 11, 2012 75%
PHS Management, LLC Organization, Roseville, MN LLC, Management services company, Non-profit Operational/Managerial Control Mar 11, 2011 100%
Presbyterian Homes Housing and Assisted Living, Inc. Organization, Roseville, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 30, 2005 100%
Duane W Larson Individual Corporate DirectorMember of Board of Directors Jan 1, 2020 33%

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1346245446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 69TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291505",
            "telephone_number": "763-549-9600",
            "fax_number": "763-549-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHS MARANATHA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "328432",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731342000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0032",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HAMLAP430",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Roseville",
            "address_1": "5401 69th Ave N",
            "city": "Brooklyn Center",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HAMPLAP430",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5401 69th Ave N",
            "city": "Brooklyn Center",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HAMLAP430",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5401 69th Ave N",
            "city": "Brooklyn Center",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PHS Maranatha Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maranatha Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.