PHS MARANATHA INC. NPI 1346245446

NPI Details

PHS MARANATHA INC. is a skilled nursing facility in Brooklyn Center, MN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. PHS MARANATHA INC. NPI is 1346245446. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5409 69TH AVE N
BROOKLYN CENTER, MN
ZIP 55429-505
Phone: (763) 549-9600
Fax: (763) 549-9636

The provider's authorized official is Mark Meyer .
The authorized official title is Cfo and has the following contact phone number (651) 631-6102.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 11/11/2025.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.