NPI 1073618997 · live from the CMS NPI Registry
Bethany Covenant Home
Skilled Nursing Facility in Minneapolis, MN. National Provider Identifier 1073618997, active.
NPI record
| NPI | 1073618997 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2309 Hayes St Ne, Minneapolis, MN 55418 |
| Practice phone | 612-781-2691 |
| Enumerated | September 14, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Rick Fisk, President |
| Other names | Bethany Covenant Village |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | No numbers used (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.