Organization Active NPI

Innovations for Aging, LLC

  • Case Management Agency
  • Minneapolis, MN
National Provider Identifier
1437656840
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.