Provenance Homes 1, LLC
NPI 1356191928 · Assisted Living Facility · Minneapolis, MN
Provenance Homes 1, LLC is a Assisted Living Facility organization in Minneapolis, MN (NPI 1356191928).
Provider details
- NPI number
- 1356191928
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Globus, Chief Manager(612) 940-2104
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Provenance Homes 1, LLC's NPI number?
- Provenance Homes 1, LLC's National Provider Identifier (NPI) is 1356191928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provenance Homes 1, LLC?
- Provenance Homes 1, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Provenance Homes 1, LLC located?
- Provenance Homes 1, LLC's practice location on file with NPPES is 3641 28th Ave S Unit 1, Minneapolis, MN 55406-2515.
- What is Provenance Homes 1, LLC's phone number?
- The practice phone number listed in the NPPES registry for Provenance Homes 1, LLC is (612) 940-2104.
- Who is the authorized official for Provenance Homes 1, LLC?
- The authorized official listed on Provenance Homes 1, LLC's NPPES record is Mark Globus, Chief Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provenance Homes 1, LLC's NPI active?
- Yes — Provenance Homes 1, LLC's NPI (1356191928) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.