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Contact Information

NORTHSIDE LIFE CARE CENTER
4367 THOMAS AVE N
MINNEAPOLIS, MN55412-1005
 Phone: 912-522-6589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for NORTHSIDE LIFE CARE CENTER

NPI # 1891926838
LBN Legal business name NORTHSIDE LIFE CARE CENTER
Authorized official CINDY LORSUNG - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2009
Last updated 08/06/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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