Childrens Health Care

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHILDRENS HEALTH CARE

Doing business as

Childrens Hospitals and Clinics Of Minnesota

Practice address

5950 Clearwater Drive
Childrens Hospitals and Clinics Community Rehab
Minnetonka, MN 55343

Phone

(952) 930-8630

NPI assigned

Sep 17, 2006

Last updated

Oct 31, 2022By 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

Jerry L Massmann

Title

Chief Financial Officer

Phone

(612) 813-6113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Childrens Hospitals and Clinics Of Minnesota Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912004631. Details of each certification follow.

• CCN 243302A Hospital · Details

Hospital certification: CCN 243302A

Legal name

CHILDREN'S HEALTH CARE

Doing business as

CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA

Organization structure

CorporationNon-profit

Incorporated

Jun 14, 1994 in MN

Enrollment address

2525 Chicago Ave
Minneapolis, MN 55404-4518
Main/Primary Hospital Location

Hospital subgroups

Children’s, Psychiatric unit, Other

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Childrens Health Care

  dba Childrens Hospitals and Clinics of Minnesota

  • Children's Hospital
  • Saint Paul, MN
  • NPI 1629161781

  O20031223000616

  Same enrollment
• Childrens Health Care

  • Children's Hospital
  • Minneapolis, MN
  • NPI 1881793750

  O20031223000616

  Same enrollment

All disclosed owners & managing parties 22

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.

• Andrew W Kiragu, MD

  • Pediatric Critical Care Medicine Physician
  • Minneapolis, MN
  • NPI 1932128147

  Corporate Director

  CMS ownership
• William A Mize, MD

  • Diagnostic Radiology Physician
  • Minneapolis, MN
  • NPI 1811933310

  Corporate Director

  CMS ownership

Practitioners 134

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.

• Tammy L Abbott, MSW LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1164633525
  NPD (past)
• Ann Catherine Allen, AND CCCA

  • Hearing Instrument Specialist
  • Minneapolis, MN
  • NPI 1972676674
  NPD (past)
• Richard D Andersen, MD

  • Pediatrics Physician
  • Saint Paul, MN
  • NPI 1417920430
  NPD (past)
• Janice C Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Minnetonka, MN
  • NPI 1285733196
  NPD (past)
• Sanford J Anderson, MD

  • Pediatrics Physician
  • Minneapolis, MN
  • NPI 1659372548
  NPD (past)
• Kristen Appert, CPNP

  • Pediatric Nurse Practitioner
  • Minneapolis, MN
  • NPI 1831164730
  NPD (past)
• Joseph L Arms, MD

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1417052077
  NPD (past)
• David R Aughey, MD

  • Pediatrics Physician
  • Minneapolis, MN
  • NPI 1538135520
  NPD (past)
• Doreatha J Baker, CPNP

  • Pediatric Nurse Practitioner
  • Saint Paul, MN
  • NPI 1003817016
  NPD (past)
• Mary Therese Barsness, CRNA

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
  • NPI 1235295171
  NPD (past)
• Kiran K Belani, MBBS MD

  • Pediatric Infectious Diseases Physician
  • Minneapolis, MN
  • NPI 1639145758
  NPD (past)
• Stephanie Ab Belseth, CPNP

  • Pediatric Nurse Practitioner
  • Minneapolis, MN
  • NPI 1821081993
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1912004631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CENTRE POINTE DRIVE",
            "address_2": "35-121A",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-855-2109",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 CLEARWATER DRIVE",
            "address_2": "CHILDRENS HOSPITALS AND CLINICS COMMUNITY REHAB",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "952-930-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "MASSMANN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-813-6113"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435247511",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Hospitals and Clinics Of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Childrens Hospitals and Clinics Of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aimee Marlaine Chelman
• Ashley Julianna Cheney
• Denver Cheney
• Cherrywood Pointe of Minnetonka LLC
• Ann-Marie Elin Chesterfield, P.T.
• Childrens Health Care Services Inc (Childrens Minnetonka)
• Childrens Health Care Services Inc
• Childrens Health Care Services Inc (Childrens Minnetonka)
• Childrens West Pharmacy (Childrens Healthcare Inc)
• Aaron James Chinavare

• Rehabilitation Clinic/Center in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.