OrganizationActive
Bethany Covenant Home
NPI 1073618997 · Skilled Nursing Facility · Minneapolis, MN
Provider details
- NPI number
- 1073618997
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rick Fisk, President(773) 878-2295
- License
- NO NUMBERS USED (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2309 Hayes St Ne
Minneapolis, MN 55418-3934
Phone: (612) 781-2691
Fax: (612) 781-8835
Approximate (ZIP-level) locationGet directions
Mailing address
2309 Hayes St Ne
Minneapolis, MN 55418-3934
Other names (DBA / former)
- Doing business as
- Bethany Covenant Village
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.