City of Lakes Care Center
NPI 1669478129ActiveOrganization· Skilled Nursing Facility· Minneapolis, MN
Skilled Nursing Facility in Minneapolis, Minnesota, registered in NPPES in June 2005. The authorized official on file is Peter Momanyi, LNHA, Administrator / Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1669478129 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2005 |
| Last updated in NPPES | Feb 20, 2025 |
| Certified by provider | Feb 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 327352 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MN) |
|---|
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