OrganizationActive
Southside Life Care Center
NPI 1982879771 · Voluntary or Charitable Agency · Minneapolis, MN
Southside Life Care Center is a Voluntary or Charitable Agency organization in Minneapolis, MN (NPI 1982879771).
Provider details
- NPI number
- 1982879771
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimberly Rynders, Executive Director(612) 823-0301
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4105 Chicago Ave
Minneapolis, MN 55407-3144
Phone: (612) 823-0301
Fax: (612) 823-0775
Street-level locationGet directions
Mailing address
4105 Chicago Ave
Minneapolis, MN 55407-3144
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Frequently asked questions
- What is Southside Life Care Center's NPI number?
- Southside Life Care Center's National Provider Identifier (NPI) is 1982879771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Life Care Center?
- Southside Life Care Center is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is Southside Life Care Center located?
- Southside Life Care Center's practice location on file with NPPES is 4105 Chicago Ave, Minneapolis, MN 55407-3144.
- What is Southside Life Care Center's phone number?
- The practice phone number listed in the NPPES registry for Southside Life Care Center is (612) 823-0301.
- Who is the authorized official for Southside Life Care Center?
- The authorized official listed on Southside Life Care Center's NPPES record is Kimberly Rynders, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Life Care Center's NPI active?
- Yes — Southside Life Care Center's NPI (1982879771) is active in the NPPES registry as of the last update on 2008-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.