Phs Maranatha Inc. in Brooklyn Center - Nursing Facility/intermediate Care Facility
Phs Maranatha Inc. - NPI 1346245446
Phs Maranatha Inc. is a Nursing Facility/intermediate Care Facility in Brooklyn Center, Minnesota. Phs Maranatha Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Phs Maranatha Inc. is 1346245446. The last update date is 2021-09-15.
Phs Maranatha Inc.'s current location address is 5401 69th Ave N, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635499600 and fax number 7635499636. The mailing address for Phs Maranatha Inc. is 5401 69th Ave N, Brooklyn Center, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phs Maranatha Inc. |
|---|---|
| Address | 5401 69th Ave N, Brooklyn Center, Minnesota |
| Phone Number | 7635499600 |
| Fax Number | 7635499636 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REVENUE CY |
|---|---|
| Authorized Official Name | Fischer R Sheri |
| Telephone Number | 6516316450 |
NPI Number Detail
| NPI Number | 1346245446 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2021-09-15 |
Provider Mailing Address Detail
| Address | 5401 69th Ave N |
|---|---|
| City | Brooklyn Center |
| State | Minnesota (MN) |
| Post Code | 5542926840 |
| Phone Number | 7635499600 |
| Fax Number | 7635499636 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 328432 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 731342000 | MN | -- | |
| NH0032 | MN | UCARE |
Post Comment/ Review Below
What is the unique identification code assigned to Phs Maranatha Inc. by the Centers for Medicare & Medicaid Services?
The Phs Maranatha Inc. has been issued the NPI (National Provider Identifier) 1346245446. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phs Maranatha Inc. is physically located?
The Phs Maranatha Inc. is physically situated at the following address: 5401 69Th Ave N, Brooklyn Center, MN, 5542926840.
What is Phs Maranatha Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phs Maranatha Inc. is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
On what date did Phs Maranatha Inc. receive its 1346245446 assignment from the Centers for Medicare & Medicaid Services?
The Phs Maranatha Inc. was assigned its 1346245446 on 2005-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Phs Maranatha Inc. most recently updated or refreshed?
The details pertaining to the Phs Maranatha Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-15.