Phs Interlude Fridley LLC
NPI 1740697291ActiveOrganization· Skilled Nursing Facility· Fridley, MN
Skilled Nursing Facility in Fridley, Minnesota, registered in NPPES in July 2014. The authorized official on file is Nicole Donahue, Ceo/Administrator.
Overview
| NPI | 1740697291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2014 |
| Last updated in NPPES | Dec 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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