Martin Luther Manor
LBN: Martin Luther Manor
Martin Luther Manor is an health care organization with primary practice located at 1401 E 100Th St , Bloomington MN 55425-2615. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Martin Luther Manor can be contacted via phone (952) 888-7751, or through Johnson, Dennis R via phone (651) 766-4300.
Contact Information
Primary practice address
1401 E 100Th St
Bloomington MN 55425-2615
Phone: (952) 888-7751
Fax: (952) 888-5465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 331915 | Minnesota |
Profile Details
| NPI number | 1750301578 |
|---|---|
| LBN Legal business name | Martin Luther Manor |
| DBA Doing business as | |
| Authorized official | Johnson, Dennis R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750301578 | NPPES |
| Minnesota | Other | 8606MA | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | NH0033 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 7122647 | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 913423300 | BLUE CROSS BLUE SHIELD |
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