STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET


Address: 5101 Minnehaha Ave, Minneapolis, MN 55417-1647
Phone: 6125485957

STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET (NPI# 1295025864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295025864
Entity Type Organization
Organization Name STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
Other Organization Name MINNESOTA VETERANS HOME - MINNEAPOLIS
Practice Address 5101 Minnehaha Ave
Minneapolis
MN 55417-1647
Mailing Address 5101 Minnehaha Ave Bldg 10
Minneapolis
MN 55417-1647
Practice Telephone 6125485957
Mailing Telephone 6125485962
Enumeration Date 2011-04-15
Last Update Date 2019-03-19
Authorized Official Name MARY ELIZABETH JOHNSON (CENTRAL PHARMACY, PHARMACIST SENIOR)
Authorized Official Telephone 6125485962
Is Organization Subpart Y
Parent Organization Name STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 314000000X Skilled Nursing Facility 349679 MN Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Minnesota Dept. of Veterans Affairs, MN Veterans Home Minneapolis Doing Business As Name - Organization
Minnesota Veterans Home - Minneapolis Doing Business As Name - Organization
Minnesota Veterans Home - Minnespolis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346709268 State of Minnesota-minnesota Management and Budget Clinic/Center 5101 Minnehaha Ave Bldg 4, Minneapolis, MN 55417-1647 2019-03-19
1952742256 State of Minnesota-minnesota Management and Budget Skilled Nursing Facility 56 Outer Dr, Silver Bay, MN 55614-1133 2013-07-15
1568735090 State of Minnesota-minnesota Management and Budget Skilled Nursing Facility 1300 N Kniss Ave, Luverne, MN 56156-1006 2012-02-14
1508165457 State of Minnesota-minnesota Management and Budget Assisted Living Facility 1200 18th St E, Hastings, MN 55033-3680 2011-03-17
1891021390 State of Minnesota-minnesota Management and Budget Pharmacy 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2009-10-19

Office Location

Street Address 5101 MINNEHAHA AVE
City MINNEAPOLIS
State MN
Zip Code 55417-1647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154326635 Bruce Meyer Emergency Medicine 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2005-06-20
1336787076 Rachel Cooke Licensed Practical Nurse 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2019-12-12
1295257756 Banchi Alebachew Registered Nurse 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2017-07-16
1932444957 Debra Deann Leyes Pharmacist 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2012-12-02
1659638690 Shahrior Imrul Kayes Nurse Practitioner 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2012-04-16
1376844316 Elnora Michelle Hagans Registered Nurse 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2010-11-08
1831490861 Paula Opatrny Nurse Practitioner 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2010-11-08
1891021390 State of Minnesota-minnesota Management and Budget Pharmacy 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2009-10-19
1952401507 Mark S Burke Internal Medicine 5101 Minnehaha Ave, Minneapolis Veterans Home, Minneapolis, MN 55417-1647 2006-09-24
1245337898 Debra Ann Zimmer Internal Medicine 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2006-09-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205444791 Patrick Reilly Steck Dentist 4948 S 34th Ave, Minneapolis, MN 55417 2020-07-21
1174160832 Susan Jacobson Pharmacist One Veterans Drive (119), Minneapolis, MN 55417 2019-12-02
1699240580 Angela Cox Social Worker Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 2018-10-08
1407353519 Kirsten Kathleen Rydberg Registered Nurse One Veteran Drive, Minneapolis, MN 55417 2018-04-06
1902306038 Ksa Psychological Services, LLC Psychologist 5603 Chicago Ave., Minneapolis, MN 55417 2018-02-15
1770025710 Elizabeth Kate Adam Registered Nurse 613 E Minnehaha Pkwy, Minneapolis, MN 55417 2016-11-08
1831579754 John Rossakis Occupational Therapist 5708 42nd Ave S, Minneapolis, MN 55417 2015-06-05
1205214566 Karin Shelstad Specialist/Technologist 5501 10th Av S, Minneapolis, MN 55417 2015-05-07
1750712733 Debra Sand Massage Therapist 2750 E 50th Street, Minneapolis, MN 55417 2013-12-02
1669764221 Michael Alan Newman Internal Medicine One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 2011-05-13
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346841152 Minneapolis Healthcare and Rehabilitation Center LLC Skilled Nursing Facility 815n Rothsay Street, Minneapolis, KS 67467 2020-11-06
1144707811 Victory Health Operations, LLC Skilled Nursing Facility 512 - 49th Avenue North, Minneapolis, MN 55430-3621 2018-07-25
1457531949 Hmong Skilled Services, Inc. Skilled Nursing Facility 2411 E Franklin Ave, Minneapolis, MN 55406-1026 2007-11-13
1831250976 Voa Care Centers, Minnesota Skilled Nursing Facility 3245 Vera Cruz Ave N, Minneapolis, MN 55422-2708 2006-12-13
1073618997 Bethany Covenant Home Skilled Nursing Facility 2309 Hayes St Ne, Minneapolis, MN 55418-3934 2006-09-14
1548211816 Ggnsc Minneapolis Chateau LLC Skilled Nursing Facility 2106 2nd Ave S, Minneapolis, MN 55404-2606 2006-05-12
1023066867 Augustana Chapel View Homes, Inc. Skilled Nursing Facility 1007 E 14th St, Minneapolis, MN 55404-1314 2006-05-04
1578535886 The Providence Place Skilled Nursing Facility 3720 23rd Ave S, Minneapolis, MN 55407-3010 2006-02-02
1124019690 Catholic Eldercare Skilled Nursing Facility 817 Main St Ne, Minneapolis, MN 55413-1931 2005-11-02
1619965365 Redeemer Residence, Inc. Skilled Nursing Facility 625 W 31st St, Minneapolis, MN 55408-2922 2005-10-07
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Competitor

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City MINNEAPOLIS
Zip Code 55417

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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