The Providence Place

LBN: The Providence Place
The Providence Place is an health care organization with primary practice located at 3720 23Rd Ave S , Minneapolis MN 55407-3010. 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. The Providence Place can be contacted via phone (612) 724-5495, or through Groff, Howie via phone (952) 888-2923.

Contact Information

Primary practice address
3720 23Rd Ave S Minneapolis MN 55407-3010
Phone: (612) 724-5495
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Groff, Howie
Phone: (952) 888-2923

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328868 Minnesota

Profile Details

NPI number 1578535886
LBN Legal business name The Providence Place
DBA Doing business as
Authorized official Groff, Howie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1578535886 NPPES
Minnesota Other NH0131 UCARE
Minnesota Other 7100377 UCARE
Minnesota Other 7122705 UCARE
Minnesota Other 62845 UCARE
Minnesota Other 8810NI UCARE

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