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NPI 1285633537ActiveOrganization· Skilled Nursing Facility· Minneapolis, MN

Skilled Nursing Facility in Minneapolis, Minnesota, registered in NPPES in July 2005. The authorized official on file is Sharon Lynn Flack, Controller. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1285633537
StatusActive
Entity typeOrganization
NPI issuedJul 19, 2005
Last updated in NPPESAug 18, 2026
Certified by providerAug 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X328443MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (MN)

Medicare sources and data years

Other skilled nursing facilities in Minneapolis

All 37 skilled nursing facilities in Minneapolis · All skilled nursing facilities in Minnesota