NPI 1235124231 · live from the CMS NPI Registry
Aviv Health Care, INC.
Skilled Nursing Facility in Minneapolis, MN. National Provider Identifier 1235124231, active.
NPI record
| NPI | 1235124231 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 275 Penn Ave N, Minneapolis, MN 55405 |
| Practice phone | 612-377-4723 |
| Mailing address | 4509 Minnetonka Blvd, St Louis Park, MN 55416 |
| Enumerated | September 15, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Tony Pasell, Comptroller |
| Other names | Bryn Mawr Health Care Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 327079 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.