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Black Vine LLC

NPI 1326359159ActiveOrganization· Case Management· Edina, MN

Case Management in Edina, Minnesota, registered in NPPES in June 2010. The authorized official on file is Sam A. Mitchell, Owner.

Overview

NPI1326359159
StatusActive
Entity typeOrganization
NPI issuedJun 25, 2010
Last updated in NPPESJun 25, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Case Management Primary251B00000X348111MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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