Allina Health System

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

330281 Issued in MN

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Allina Health Hospice & Palliative Care

Practice address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone

(651) 635-9173

NPI assigned

Jun 14, 2006

Last updated

Feb 25, 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

Dominica Tallarico

Title

Coo

Phone

(612) 222-2222

Specialties & licenses 1

Addresses

Other names 1

• Allina Health Hospice & Palliative Care Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811930936. Details of each certification follow.

• CCN 241513 Hospice · Active · Details

Hospice certification: CCN 241513

Legal name

ALLINA HEALTH SYSTEM

Doing business as

ALLINA HEALTH HOSPICE & PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 15, 1988

Last certification

Mar 28, 2019

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Enrollment address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Listed as

Allina Health Hospice & Palliative CareCCN 241513 · All quality measures

Ownership

Non-Profit

Certified

Apr 15, 1988

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Daniel Thomas O'Laughlin, M.D.

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1851334825

  Corporate Director

  CMS ownership
• Glen Varns, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Minneapolis, MN
  • NPI 1497792857

  Corporate Officer

  CMS ownership

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Terence P Cahill, M.D

  • Family Medicine Physician
  • Faribault, MN
  • NPI 1396745022

  Hospice

  Care Compare affiliation
• Aaron M Goldish, D. O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Minneapolis, MN
  • NPI 1841605565
  Care Compare affiliation
• Amy Huber, DO

  • Family Medicine Physician
  • Hastings, MN
  • NPI 1568859601

  Hospice

  Care Compare affiliation
• Karel L Isely, MD

  • Emergency Medicine Physician
  • Saint Paul, MN
  • NPI 1770506016

  Hospice

  Care Compare affiliation
• Brian James Lovig, M.D.

  • Family Medicine Physician
  • New Ulm, MN
  • NPI 1609210616

  Hospice

  Care Compare affiliation
• Sigrid Anne Nelson, MD

  • Family Medicine Physician
  • Faribault, MN
  • NPI 1013978501

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1811930936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MAIL ROUTE 10585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "651-635-9173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 Noble Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554435500",
            "country_code": "US",
            "telephone_number": "651-635-9173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 5th St N",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560731514",
            "country_code": "US",
            "telephone_number": "507-217-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "330281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allina Health Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (Abbott Northwestern Kidney Transplant Providers)
• Allina Health System (Allina Health On Demand Virtual Visits KeyCare)
• Allina Health System (Allina Health Cancer Institute - Piper Breast Center - Minneapolis)
• Allina Health System (Women's Health Consultants)
• Allina Health System (The Center for Provider Well-Being)
• Allina Health System (Allina Health Home Health Elevated Care at Home)
• Allina Health System (Allina Health Surgical Specialists)
• Allina Health System (Allina Health Heart Hospital Pharmacy)
• Allina Hospitals and Clinics
• Fredrick Allis, D.D.S.

• Community Based Hospice Care Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.