Southside Care Center in Minneapolis - Intermediate Care Facility, Mental Illness
Southside Care Center - NPI 1063565398
Southside Care Center is a Intermediate Care Facility, Mental Illness in Minneapolis, Minnesota. Southside Care Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Southside Care Center is 1063565398. The last update date is 2020-08-22.
Southside Care Center's current location address is 4221 Beverly Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128195606. The mailing address for Southside Care Center is 4221 Beverly Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Care Center |
|---|---|
| Address | 4221 Beverly Ave, Minneapolis, Minnesota |
| Phone Number | 6128195606 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER, M |
|---|---|
| Authorized Official Name | Kronfeld Alan Richard |
| Telephone Number | 6128195606 |
NPI Number Detail
| NPI Number | 1063565398 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4221 Beverly Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554225221 |
| Phone Number | 6128195606 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 334535 |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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What is the unique identifier code issued to Southside Care Center by the Centers for Medicare & Medicaid Services?
The Southside Care Center has been assigned the NPI (National Provider Identifier) 1063565398. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Southside Care Center's physical address?
The Southside Care Center is physically located at 4221 Beverly Ave, in the city of Minneapolis, MN, with the postal code 554225221.
What is Southside Care Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southside Care Center is Intermediate Care Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 310500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063565398 to Southside Care Center?
The Centers for Medicare & Medicaid Services originally issued the 1063565398 to Southside Care Center on 2007-01-19.
When was the information regarding Southside Care Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southside Care Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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