Organization Active NPI

Kenwood Congregate Associates

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1982339784
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KENWOOD CONGREGATE ASSOCIATES
Practice address
825 Summit Ave
Minneapolis, MN 55403-4141
Phone
(612) 374-8100
Fax
(612) 377-3600
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Jennifer Volkenant
Title
Lald
Phone
(612) 294-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

825 Summit Ave
Minneapolis, MN 55403-4141

Mailing address

825 Summit Ave
Minneapolis, MN 55403-4141
Phone (612) 374-8100

Other identifiers 1

IdentifierTypeStateIssuer
407179OtherMNASSISTED LIVING

Other names 1

  • The Kenwood 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
24D1096927Kenwood,the825 Summit Ave, Minneapolis, MN 55403Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1982339784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SUMMIT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554034141",
            "telephone_number": "612-374-8100",
            "fax_number": "612-377-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SUMMIT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554034141",
            "telephone_number": "612-374-8100",
            "fax_number": "612-377-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD CONGREGATE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "VOLKENANT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LALD",
        "authorized_official_telephone_number": "612-294-1684"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "407179",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kenwood",
            "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 Jul 18, 2022; 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.