Phs Maranatha Inc.

LBN: Phs Maranatha Inc.
Phs Maranatha Inc. is an health care organization with primary practice located at 5409 69Th Ave N , Brooklyn Center MN 55429-1505. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Phs Maranatha Inc. can be contacted via phone (763) 549-9600, or through Fischer, Sheri R via phone (651) 631-6450.

Contact Information

Primary practice address
5409 69Th Ave N Brooklyn Center MN 55429-1505
Phone: (763) 549-9600
Fax: (763) 549-9636
Website:
Map and Directions
Authorized official contact:
Name: Fischer, Sheri R
Phone: (651) 631-6450

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 328432 Minnesota
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328432 Minnesota

Profile Details

NPI number 1346245446
LBN Legal business name Phs Maranatha Inc.
DBA Doing business as Phs Maranatha Inc.
Authorized official Fischer, Sheri R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 15th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346245446 NPPES
Minnesota MEDICAID 731342000
Minnesota Other NH0032

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