Active NPI
Dr. Thomas Johnson House With Services
- Assisted Living Facility
- Minneapolis, MN
National Provider Identifier
1649182908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DR. THOMAS JOHNSON HOUSE WITH SERVICES
- Practice address
- 2221 W 55TH St
Minneapolis, MN 55419-1517 - Phone
- (612) 285-8743
- Fax
- (612) 922-9276
- NPI assigned
- Sep 21, 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
- Heather Balenger
- Title
- Administrator
- Phone
- (612) 636-0222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2221 W 55TH St
Minneapolis, MN 55419-1517
Mailing address
2221 W 55TH St
Minneapolis, MN 55419-1517
Phone (612) 285-8743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1649182908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 W 55TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191517",
"telephone_number": "612-285-8743",
"fax_number": "612-922-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 W 55TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191517",
"telephone_number": "612-285-8743",
"fax_number": "612-922-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. THOMAS JOHNSON HOUSE WITH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "BALENGER",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "612-636-0222"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.