Organization · Type 2 NPI

Presbyterian Homes Bloomington Care Center, Inc

Assisted Living Facility · Bloomington, MN

NPI number 1407680473 Active

Practice location

9889 Penn Ave S
Bloomington, MN 55431-2912

Call (952) 942-2676 Map

Fax (952) 948-3081

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

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NPI record

NPI: 1407680473
Entity type: Organization (Type 2)
Issued: Aug 30, 2024
Last updated: Aug 18, 2026
Status: Active

Other names

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Presbyterian Homes of Bloomington · doing business as
Presbyterian Homes of Bloomington - Al · other name

Authorized official

Jon Tranby
Payer Relations Director
(651) 631-6102

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407680473

Presbyterian Homes Bloomington Care Center, Inc's National Provider Identifier is 1407680473, issued on Aug 30, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Bloomington, MN. The record was last updated on Aug 18, 2026.