NPIMap

Organization Active NPI

State of Minnesota-Minnesota Management and Budget

Doing business as Minnesota Veterans Home - Minneapolis Adult Day Center

  • Adult Day Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1346709268
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
Doing business as
Minnesota Veterans Home - Minneapolis Adult Day Center
Practice address
5101 Minnehaha Ave BLDG 4
Minneapolis, MN 55417-1647
Phone
(612) 548-5963
NPI assigned
Mar 19, 2019
Last updated
Mar 19, 2019By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

5101 Minnehaha Ave BLDG 4
Minneapolis, MN 55417-1647

Mailing address

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

Other names 1

  • Minnesota Veterans Home - Minneapolis Adult Day Center Doing business as

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
24D2209563MN Veterans Home Adult Day Center5101 Minnehaha Ave So BLDG #4, Minneapolis, MN 55417Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Cloud State Univ HLT28 organizations share this tax ID, including this one
Part of
St Cloud State Univ HLT

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
Bldg 4
Minneapolis, MN 55417
Phone (612) 548-5963

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1346709268",
    "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 BLDG 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5963"
        }
    ],
    "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": "2019-03-19",
        "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": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Veterans Home - Minneapolis Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.