Rescare Minnesota, Inc.
NPI 1205300969 · Mental Illness Community Based Residential Treatment Facility · Crystal, MN
Rescare Minnesota, Inc. is a Mental Illness Community Based Residential Treatment Facility organization in Crystal, MN (NPI 1205300969).
Provider details
- NPI number
- 1205300969
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Phoenix Place
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Rescare Minnesota, Inc.'s NPI number?
- Rescare Minnesota, Inc.'s National Provider Identifier (NPI) is 1205300969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rescare Minnesota, Inc.?
- Rescare Minnesota, Inc. is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Rescare Minnesota, Inc. located?
- Rescare Minnesota, Inc.'s practice location on file with NPPES is 4835-4901 West Boradway Avenue, Crystal, MN 55429.
- What is Rescare Minnesota, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Rescare Minnesota, Inc. is (763) 537-6612.
- Who is the authorized official for Rescare Minnesota, Inc.?
- The authorized official listed on Rescare Minnesota, Inc.'s NPPES record is Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rescare Minnesota, Inc.'s NPI active?
- Yes — Rescare Minnesota, Inc.'s NPI (1205300969) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.