Mission Farm Nursing Home, Inc
NPI 1942213954 · Skilled Nursing Facility · Plymouth, MN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mission Farm Nursing Home, Inc is a Skilled Nursing Facility organization in Plymouth, MN (NPI 1942213954).
Provider details
- NPI number
- 1942213954
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Delbert Clark, Administrator(763) 559-3123
- License
- 331783 (MN)
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
19 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
- 2006-08-14
- Last updated
- 2011-10-18
Frequently asked questions
- What is Mission Farm Nursing Home, Inc's NPI number?
- Mission Farm Nursing Home, Inc's National Provider Identifier (NPI) is 1942213954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mission Farm Nursing Home, Inc?
- Mission Farm Nursing Home, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Mission Farm Nursing Home, Inc located?
- Mission Farm Nursing Home, Inc's practice location on file with NPPES is 3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307.
- What is Mission Farm Nursing Home, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mission Farm Nursing Home, Inc is (763) 559-3123.
- Does Mission Farm Nursing Home, Inc accept Medicare?
- Mission Farm Nursing Home, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mission Farm Nursing Home, Inc?
- The authorized official listed on Mission Farm Nursing Home, Inc's NPPES record is Delbert Clark, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mission Farm Nursing Home, Inc's NPI active?
- Yes — Mission Farm Nursing Home, Inc's NPI (1942213954) is active in the NPPES registry as of the last update on 2011-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.