OrganizationActive
State of Minnesota-Minnesota Management and Budget
NPI 1295025864 · Skilled Nursing Facility · Minneapolis, MN
Provider details
- NPI number
- 1295025864
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- State of Minnesota-Minnesota Management and Budget
- Organization subpart
- Yes
- Authorized official
- Mary Johnson, Central Pharmacy, Pharmacist Senior(612) 548-5962
- License
- 349679 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
5101 Minnehaha Ave
Minneapolis, MN 55417-1647
Phone: (612) 548-5957
Approximate (ZIP-level) locationGet directions
Mailing address
5101 Minnehaha Ave Bldg 10
Minneapolis, MN 55417-1647
Other names (DBA / former)
- Doing business as
- Minnesota Dept. of Veterans Affairs, Mn Veterans Home Minneapolis
- Doing business as
- Minnesota Veterans Home - Minneapolis
- Doing business as
- Minnesota Veterans Home - Minnespolis
Registry dates
- Enumerated
- 2011-04-15
- Last updated
- 2019-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.