The Homestead at Anoka, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE HOMESTEAD AT ANOKA, INC.

Doing business as

The Homestead at Anoka

Practice address

3002 4TH Ave
Anoka, MN 55303-1238

Phone

(763) 528-6500

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Nancy Gavin

Title

Assistant Secretary

Phone

(612) 428-7840

Specialties & licenses 1

Addresses

Other names 1

• The Homestead at Anoka Doing business as

Tax ID family

Anoka Rehabilitation and Living Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Homestead at Anoka, Inc.

  • Skilled Nursing Facility
  • Anoka, MN
  • NPI 1326069642
  NPD tax ID

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1609447911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 4TH AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031238",
            "telephone_number": "763-528-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 4TH AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031238",
            "telephone_number": "763-528-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOMESTEAD AT ANOKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "612-428-7840"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Homestead at Anoka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tenere Home Care Services, LLC
• Kari Lynn Tessum, ARNP
• Merrah Thao
• The Estates at Anoka LLC
• The Homestead at Anoka, Inc.
• The Kaleidoscope View, Relational Therapy and Wellness
• Bethany Anne Thompson, APRN, CNM
• McKenzie Savanna Thompson
• Frederick Delbert Toenniges, MA, CAC, LPCC
• Angelica Jasmin Torres

• Assisted Living Facility in Anoka, MN
• Providers in Anoka, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.