OrganizationActive
Black Vine LLC
NPI 1326359159 · Case Management Agency · Edina, MN
Black Vine LLC is a Case Management Agency organization in Edina, MN (NPI 1326359159).
Provider details
- NPI number
- 1326359159
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sam Mitchell, Owner(952) 960-2266
- License
- 348111 (MN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 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
4445 W 77th St
Suite 122
Edina, MN 55435-5133
Phone: (952) 960-2266
Fax: (952) 960-2267
Street-level locationGet directions
Mailing address
4445 W 77th St
Edina, MN 55435-5133
Other names (DBA / former)
- Doing business as
- Comforcare Senior Services
Registry dates
- Enumerated
- 2010-06-25
- Last updated
- 2010-06-25
Frequently asked questions
- What is Black Vine LLC's NPI number?
- Black Vine LLC's National Provider Identifier (NPI) is 1326359159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Vine LLC?
- Black Vine LLC is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Black Vine LLC located?
- Black Vine LLC's practice location on file with NPPES is 4445 W 77th St, Edina, MN 55435-5133.
- What is Black Vine LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Vine LLC is (952) 960-2266.
- Who is the authorized official for Black Vine LLC?
- The authorized official listed on Black Vine LLC's NPPES record is Sam Mitchell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Vine LLC's NPI active?
- Yes — Black Vine LLC's NPI (1326359159) is active in the NPPES registry as of the last update on 2010-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.