RESCARE MINNESOTA, INC.
NPI 1205300969
Community Based Residential Treatment Facility, Mental Illness in Crystal, MN

Q: What is Rescare Minnesota, Inc.'s NPI number?

The NPI number for Rescare Minnesota, Inc. is 1205300969. It was assigned to this organization in the NPPES registry on January 16, 2019. The provider is also known as Phoenix Place.

Q: What is Rescare Minnesota, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since January 16, 2019

4835-4901 WEST BORADWAY AVENUE, CRYSTAL, MN 55429(763) 537-6612 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Jan 16, 2019 (2 updates tracked since 2019).

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About Rescare Minnesota, Inc. NPPES

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

RESCARE MINNESOTA, INC. (NPI 1205300969) is a healthcare organization registered as a community based residential treatment facility, mental illness in Crystal, Minnesota and active in the NPI registry since January 2019. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1205300969

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameRESCARE MINNESOTA, INC.

Location Address4835-4901 WEST BORADWAY AVENUECrystal, MN 55429

Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150 · Fax (952) 922-6885

Phone(763) 537-6612

Organization SubpartNo

Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234

Enumeration DateJanuary 16, 2019

Last NPPES UpdateMay 20, 20262 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1205300969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

4835-4901 WEST BORADWAY AVENUE, Crystal, MN 55429

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Other Names 1

Other NamePhoenix Place

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 Rescare Minnesota, Inc.'s NPI number?

The NPI number for Rescare Minnesota, Inc. is 1205300969. It was assigned to this organization in the NPPES registry on January 16, 2019. The provider is also known as Phoenix Place.

Where is Rescare Minnesota, Inc. located?

Rescare Minnesota, Inc. is located at 4835-4901 West Boradway Avenue, Crystal, MN 55429. The listed phone number is (763) 537-6612.

What is Rescare Minnesota, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Rescare Minnesota, Inc. was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.