Organization Active NPI

Andrew Residence Management Inc

  • Mental Illness Intermediate Care Facility
  • Minneapolis, MN
National Provider Identifier
1861452278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
ANDREW RESIDENCE MANAGEMENT INC
Doing business as
Andrew Residence
Practice address
1215 S 9TH St
Minneapolis, MN 55404-1710
Phone
(612) 333-0111
Fax
(612) 338-1734
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Karen Marie Foy, MA
Title
Executive Director
Phone
(612) 333-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

1215 S 9TH St
Minneapolis, MN 55404-1710

Mailing address

1215 S 9TH St
Minneapolis, MN 55404-1710
Phone (612) 333-0111

Other names 1

  • Andrew Residence Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0401289Andrew Residence1215 S 9TH Street, Minneapolis, MN 55404Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1215 S 9th St
Minneapolis, MN 55404
Phone (612) 333-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861452278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S 9TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041710",
            "telephone_number": "612-333-0111",
            "fax_number": "612-338-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S 9TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041710",
            "telephone_number": "612-333-0111",
            "fax_number": "612-338-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW RESIDENCE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-333-0111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.