NPI 1699142372 · live from the CMS NPI Registry
512 49th Avenue North, LLC
Skilled Nursing Facility in Minneapolis, MN. National Provider Identifier 1699142372, active.
NPI record
| NPI | 1699142372 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 512 49th Ave N, Minneapolis, MN 55430 |
| Practice phone | 612-529-7747 |
| Mailing address | 12900 Whitewater Dr Ste 201, Hopkins, MN 55343 |
| Enumerated | August 28, 2015 |
| Last updated | November 6, 2019 |
| Authorized official | Sergei Shvetzoff, President |
| Other names | Camden Care Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.