State of Minnesota-Minnesota Management and Budget
NPI 1295025864ActiveOrganization· Skilled Nursing Facility· Minneapolis, MN
Skilled Nursing Facility in Minneapolis, Minnesota, registered in NPPES in April 2011, part of State of Minnesota-Minnesota Management and Budget. The authorized official on file is Mary Elizabeth Johnson, Central Pharmacy, Pharmacist Senior. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - clinic/group practice.
Overview
| NPI | 1295025864 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | State of Minnesota-Minnesota Management and Budget |
| NPI issued | Apr 15, 2011 |
| Last updated in NPPES | Mar 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Skilled Nursing Facility | 314000000X | 349679 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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