Providence Health Care Services
NPI 1457047037 · Assisted Living Facility · Blaine, MN
Providence Health Care Services is a Assisted Living Facility organization in Blaine, MN (NPI 1457047037).
Provider details
- NPI number
- 1457047037
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jared Kenyanya, Ceo(612) 456-2773
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Sunrise Assisted Living
Additional practice locations (1)
- 15236 Germanium Cir NwRamsey, MN 55303-5163Phone: (763) 444-1811Fax: (763) 444-1868
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Frequently asked questions
- What is Providence Health Care Services's NPI number?
- Providence Health Care Services's National Provider Identifier (NPI) is 1457047037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health Care Services?
- Providence Health Care Services is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Providence Health Care Services located?
- Providence Health Care Services's practice location on file with NPPES is 781 103rd Ave Ne, Blaine, MN 55434-4507.
- What is Providence Health Care Services's phone number?
- The practice phone number listed in the NPPES registry for Providence Health Care Services is (612) 456-2773.
- Who is the authorized official for Providence Health Care Services?
- The authorized official listed on Providence Health Care Services's NPPES record is Jared Kenyanya, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health Care Services's NPI active?
- Yes — Providence Health Care Services's NPI (1457047037) is active in the NPPES registry as of the last update on 2025-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.