SOUTHWEST RESIDENCE CENTER INC
NPI 1023826179
Clinic/Center in Bloomington, MN

Q: What is Southwest Residence Center Inc's NPI number?

The NPI number for Southwest Residence Center Inc is 1023826179. It was assigned to this organization in the NPPES registry on December 20, 2024.

Q: What is Southwest Residence Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 20, 2024

9400 COLUMBUS AVE S, BLOOMINGTON, MN 55420(952) 994-0998 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Southwest Residence Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST RESIDENCE CENTER INC (NPI 1023826179) is a healthcare organization registered as a clinic/center in Bloomington, Minnesota and active in the NPI registry since December 2024. The organization lists Fahaf Dunkal, Owner, as its authorized official.

NPPES Registry Identity

NPI1023826179

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTHWEST RESIDENCE CENTER INC

Location Address9400 COLUMBUS AVE SBloomington, MN 55420-4528

Mailing Address9400 Columbus Ave SBloomington, MN 55420-4528

Phone(952) 994-0998

Organization SubpartNo

Authorized OfficialFahaf DunkalOwner · (952) 994-0998

Enumeration DateDecember 20, 2024

NPPES CertifiedDecember 20, 2024

✔ NPI 1023826179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9400 COLUMBUS AVE S, Bloomington, MN 55420

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Residence Center Inc's NPI number?

The NPI number for Southwest Residence Center Inc is 1023826179. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Southwest Residence Center Inc located?

Southwest Residence Center Inc is located at 9400 Columbus Ave S, Bloomington, MN 55420. The listed phone number is (952) 994-0998.

What is Southwest Residence Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southwest Residence Center Inc was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.