Active NPI
Innovations for Aging, LLC
- Case Management Agency
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- INNOVATIONS FOR AGING, LLC
- Practice address
- 3001 Broadway St NE Ste 601
Minneapolis, MN 55413-2659 - Phone
- (651) 641-8612
- NPI assigned
- Apr 11, 2018
- Last updated
- Mar 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Richard Cullen
- Title
- Vice President
- Phone
- (651) 251-5763
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
3001 Broadway St NE Ste 601
Minneapolis, MN 55413-2659
Mailing address
3001 Broadway St NE Ste 601
Minneapolis, MN 55413-2659
Phone (651) 641-8612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220707002150 | MN | MDPP Supplier - in-Person MDPP Supplier | 6305226432 | Practice locations: Redwood Falls, MN; Saint Paul, MN; Minneapolis, MN; Mankato, MN; Hermantown, MN; Fergus Falls, MN; Duluth, MN; Cloquet, MN… |
National Provider Directory
National Provider DirectoryLocations
1265 Grey Fox Rd
Ste 2
Arden Hills, MN 55112
Phone (651) 612-8612
3001 Broadway St NE
Ste 170
Minneapolis, MN 55413
Phone (855) 215-2174
3001 Broadway St NE
Ste 601
Minneapolis, MN 55413
Phone (651) 641-8612
2365 McKnight Rd N
Saint Paul, MN 55109
Phone (651) 370-2375
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Occupational Therapist
- Minneapolis, MN
- NPI 1366687063
-
- Registered Dietitian
- Cloquet, MN
- NPI 1760433437
-
- Registered Dietitian
- Willmar, MN
- NPI 1811488430
-
- Registered Dietitian
- Redwood Falls, MN
- NPI 1952861809
-
- Clinical Social Worker
- North Saint Paul, MN
- NPI 1215316955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1437656840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BROADWAY ST NE STE 601",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132659",
"telephone_number": "651-641-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BROADWAY ST NE STE 601",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132659",
"telephone_number": "651-641-8612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIONS FOR AGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-11",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "651-251-5763"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.