Blank Slate Homes LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

BLANK SLATE HOMES LLC

Practice address

1148 Pacific St
Saint Paul, MN 55106-6421

Phone

(612) 770-5748

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Leeann Glenna, PTNPI 1972674927

Title

Vice President

Phone

(612) 770-5748

Specialties & licenses 1

Addresses

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.

• Elizabeth Glenna

  • Physical Therapist
  • Wyoming, MN
  • NPI 1972674927
  NPD Authorized official

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1477442143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "CENTER CITY",
            "state": "MN",
            "postal_code": "550120242",
            "telephone_number": "612-770-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 PACIFIC ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066421",
            "telephone_number": "612-770-5748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Van Buren Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551041659",
            "country_code": "US",
            "telephone_number": "612-770-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Maryland Ave E",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551062535",
            "country_code": "US",
            "telephone_number": "612-770-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLANK SLATE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "GLENNA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "612-770-5748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Blair
• David P Blake, MD
• Sandra Lee Blake, RD, LD
• Joseph Blakeslee, DNP, CNP, PMHNP-BC
• Briana Blakey, LPCC
• Denise K Blankenship, CRNA
• De'Sha Bre'Ell Blanks-Vann
• Sonjae Blanks
• Paul Timothy Blaske, MA, LPCC
• Thomas Anthony Blass

• Lodging Provider in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Lodging Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.