REM HENNEPIN INC (NPI# 1518042100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518042100 |
| Entity Type | Organization |
| Organization Name | REM HENNEPIN INC |
| Other Organization Name | REM HENNEPIN INC PILLSBURY |
| Practice Address |
2311 Pillsbury Avenue South Minneapolis MN 55404 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226776 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | MS. CONNIE MENNE (STATE DIRECTOR) |
| Authorized Official Telephone | 9529226776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 8020954RS | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 545043800 | 05 |
| Other Name | Type Code |
|---|---|
| REM Hennepin Inc Pillsbury | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952486540 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 6816 65th Ave N, Brooklyn Park, MN 55428-2513 | 2006-10-25 |
| 1609951284 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 7101 12th Ave S, Richfield, MN 55423-3340 | 2006-10-25 |
| 1700961398 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 21 Westwood Road, Minnetonka, MN 55305 | 2006-10-25 |
| 1023193612 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 3239 Regent Ave N, Golden Valley, MN 55422-2737 | 2006-10-25 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| 1255416830 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 614 Queen Avenue South, Minneapolis, MN 55405 | 2006-10-25 |
| 1366527939 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 9201 Cedar Avenue South, Bloomington, MN 55425 | 2006-10-25 |
| Street Address |
2311 PILLSBURY AVENUE SOUTH |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962692905 | Northeast House Inc | Intermediate Care Facility, Mentally Retarded | 1918 19th Ave Ne, Minneapolis, MN 55418-4728 | 2007-07-26 |
| 1457479636 | People Incorporated | Intermediate Care Facility, Mentally Retarded | 1380 W Minnehaha Pkwy, Minneapolis, MN 55419-5220 | 2007-03-27 |
| 1750441713 | Outreach Six Acres Inc | Intermediate Care Facility, Mentally Retarded | 1555 118th Ln Nw, Minneapolis, MN 55448-7579 | 2006-12-11 |
| 1508939331 | Msocs-blaine | Intermediate Care Facility, Mentally Retarded | 12949 Kenyon St Ne, Minneapolis, MN 55449-4991 | 2006-11-17 |
| 1255416830 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 614 Queen Avenue South, Minneapolis, MN 55405 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
| 1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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| 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.