Active NPI
Kenwood Congregate Associates
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1982339784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407179 | Other | MN | ASSISTED LIVING |
Other names 1
- The Kenwood
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1096927 | Kenwood,the | Certificate of waiver | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Rochester, MN
- NPI 1639163405
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.