REDEEMER RESIDENCE, INC. (NPI# 1619965365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619965365 |
| Entity Type | Organization |
| Organization Name | REDEEMER RESIDENCE, INC. |
| Other Organization Name | REDEEMER HEALTH AND REHAB CENTER - A MINISTRY OF ELIM CARE, INC. |
| Practice Address |
625 W 31st St Minneapolis MN 55408-2922 |
| Practice Telephone | 6128272555 |
| Practice Fax Number | 6128270450 |
| Mailing Telephone | 6128272555 |
| Mailing Fax Number | 6128270450 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL MICKELSON (CORPORATE A/R MANAGER) |
| Authorized Official Telephone | 9522594485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 327804 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA STATE LICENSE | 327804 | 01 |
| Other Name | Type Code |
|---|---|
| Redeemer Health and Rehab Center - A Ministry of Elim Care, Inc. | Doing Business As Name - Organization |
| Street Address |
625 W 31ST ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962907311 | Alyssa Bielawski | Occupational Therapist | 625 W 31st St, Minneapolis, MN 55408-2922 | 2018-03-28 |
| 1134372832 | Rebecca A Vegge | Occupational Therapist | 625 W 31st St, Minneapolis, MN 55408-2922 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| 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 |
| 1477541282 | American Baptist Homes of The Midwest | Skilled Nursing Facility | 512 49th Ave N, Minneapolis, MN 55430-3621 | 2005-10-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
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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.