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Midwest Residential Inc — NPI 1578075750, Bloomington, MN | NPI Central

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NPI 1578075750

OrganizationActive

Midwest Residential Inc

NPI 1578075750 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bloomington, MN

Provider details

NPI number: 1578075750
Entity type: Organization
Primary specialty: Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Faiza Hassan, Ceo(651) 315-2649
License: 381821 (MN)

Specialties & taxonomies

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 381821 (MN)
Residential Treatment Facilities

Practice location

10917 Humboldt Ave S

Bloomington, MN 55431-4221

Phone: (651) 315-2649

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

7400 Cedar Ave S

Minneapolis, MN 55423-4647

Additional practice locations (4)

10449 Johnson Ave S
Bloomington, MN 55437-2819
Phone: (651) 315-2649
Fax: (612) 979-2604
10325 Zinran Ave S
Bloomington, MN 55438-1961
Phone: (651) 315-2649
5620 W 99th St
Bloomington, MN 55437-2227
Phone: (651) 315-2649
Fax: (612) 979-2604
7800 W 101st St
Bloomington, MN 55438-2071
Phone: (651) 315-2649
Fax: (612) 979-2604

Registry dates

Enumerated: 2017-10-28
Last updated: 2024-03-18
Certified: 2024-03-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.