NPI 1669478129 · live from the CMS NPI Registry
City Of Lakes Care Center
Skilled Nursing Facility in Minneapolis, MN. National Provider Identifier 1669478129, active.
NPI record
| NPI | 1669478129 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 618 E 17th St, Minneapolis, MN 55404 |
| Practice phone | 612-879-2811 |
| Enumerated | June 21, 2005 |
| Last updated | February 20, 2025 |
| Authorized official | Peter Momanyi, Administrator / Ceo |
| Other names | Benedictine Health Center Of Minneapolis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 327352 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.