Active NPI
Minnesota Haven Homes
- Assisted Living Facility
- Bloomington, MN
National Provider Identifier
1962624213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- R166070-8
- Legal business name
- MINNESOTA HAVEN HOMES
- Practice address
- 8227 12 Avenue S.
Bloomington, MN 55423 - Phone
- (612) 245-1658
- Fax
- (651) 207-6841
- NPI assigned
- May 3, 2007
- Last updated
- Aug 22, 2020
- 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
- Miss Sia Jamila Sogbeh, RN
- Title
- Registered Nurse
- Phone
- (612) 245-1658
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | R166070-8 | MN | Primary |
Addresses
Primary practice location
8227 12 Avenue S.
Bloomington, MN 55423
Mailing address
8227 12 Avenue S.
Bloomington, MN 55423
Phone (612) 245-1658
National Provider Directory
National Provider Directory- Tax ID family
- Minnesota Haven Homes
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1942404983
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Registered Nurse
- Bloomington, MN
- NPI 1407074446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962624213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 12 AVENUE S.",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55423",
"telephone_number": "612-245-1658",
"fax_number": "651-207-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 12 AVENUE S.",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55423",
"telephone_number": "612-245-1658",
"fax_number": "651-207-6841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNESOTA HAVEN HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SOGBEH",
"authorized_official_first_name": "SIA",
"authorized_official_middle_name": "JAMILA",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "612-245-1658",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "R166070-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
- Minnesota Eye Consultants, PA (Eye Care Network)
- Minnesota Eye Consultants, PA
- Minnesota Eye Consultants, PA
- Minnesota Eye Consultants, PA
- Minnesota Eye Laser & Surgery Centers, LLC (Minnesota Eye Laser & Surgery Centers)
- Minnesota Haven Homes, LLC
- Minnesota Masonic Home Care Center
- Minnesota Multicultural Center for Health
- Minnesota Retina Associates, LLC
- Ayan Mire
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.