OrganizationActive
Our House of Minnesota, Inc. I
NPI 1750467577 · Intellectual Disabilities Intermediate Care Facility · Saint Paul, MN
Provider details
- NPI number
- 1750467577
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dennis Holman, Administrator(651) 646-1104
- License
- 801828-1-RS (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1846 Dayton Ave
Saint Paul, MN 55104-6012
Phone: (651) 644-6650
Fax: (651) 644-6650
Approximate (ZIP-level) locationGet directions
Mailing address
1846 Portland Ave
Saint Paul, MN 55104-6062
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.