Recover Health of Minnesota, Inc.
Organization Active NPI Nursing Care Agency · Edina, MN
NPI 1386310696 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1386310696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- Legal business name
- RECOVER HEALTH OF MINNESOTA, INC.
- Practice address
- 8000 W 78TH St Ste 330
Edina, MN 55439-2576 - Phone
- (612) 249-7900
- Fax
- (612) 643-9757
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Corporate family (same tax ID) 5
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2241412 | Recover Health of Minnesota, Inc | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
- Tax ID family
- Aveanna Home Health
Locations
8000 W 78th St
Ste 330
Edina, MN 55439
Phone (612) 249-7900
5900 Green Oak Dr
Ste 201
Minnetonka, MN 55343
22 Wilson Ave NE
Ste 26
Saint Cloud, MN 56304
Phone (320) 774-0770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
8000 W 78TH St Ste 330
Edina, MN 55439-2576
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other practice location 1
22 Wilson Ave NE Ste 26
Saint Cloud, MN 56304-0403
Phone (320) 774-0770
Other names
- Aveanna Healthcare
Other providers in Edina, MN
- Kathryn Lagrave Reaney
- Megan Reaney
- Kevin Rebman
- Mark Wesley Reckson
- Reconnect Counseling LLC
- Recover Health of Minnesota, Inc.
- Red Balloon Urgent Care PLLC
- Emily Reddan
- Pratap Konudulla Reddy
- Amy Redlon
All providers in Edina, MN · Nursing Care Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- 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.