MYSTICAL ROSE CHIROPRACTIC LLC NPI 1649555715

NPI Information

  • NPI: 1649555715
  • Provider Name: MYSTICAL ROSE CHIROPRACTIC LLC
  • Classification: Health Maintenance Organization - 302R00000X
  • Entity Type: Organization
  • Address: 8200 HUMBOLDT AVE S
    SUITE 204
    BLOOMINGTON, MN
    ZIP 55431
  • Phone: (952) 884-6144

Map and Directions

Get Directions

NPI Details

MYSTICAL ROSE CHIROPRACTIC LLC is a health maintenance organization in Bloomington, MN. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. MYSTICAL ROSE CHIROPRACTIC LLC NPI is 1649555715. The provider is registered as an organization entity type.

The provider's business location address is:

8200 HUMBOLDT AVE S
SUITE 204
BLOOMINGTON, MN
ZIP 55431-433
Phone: (952) 884-6144
Fax: (952) 884-9180

The provider's authorized official is Catherine Wanjiru Njogu .
The authorized official title is President and has the following contact phone number (612) 310-8662.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 4/15/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302R00000XHealth Maintenance Organization1094MINNESOTAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C05946OTHERMINNESOTAMEDICARE PTAN NUMBER

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.