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MINNESOTA HAVEN HOMES NPI 1962624213


NPI Information

NPI: 1962624213
Provider Name: MINNESOTA HAVEN HOMES
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
8227 12 AVENUE S.
BLOOMINGTON, MN
ZIP 55423
Phone: (612) 245-1658
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MINNESOTA HAVEN HOMES is an assisted living facility in Bloomington, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MINNESOTA HAVEN HOMES NPI is 1962624213. The provider is registered as an organization entity type.

The provider's business location address is:

8227 12 AVENUE S.
BLOOMINGTON, MN
ZIP 55423
Phone: (612) 245-1658
Fax: (651) 207-6841

The provider's authorized official is Sia Jamila Sogbeh .
The authorized official title is Registered Nurse and has the following contact phone number (612) 245-1658.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityR166070-8MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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