HIGHLAND HOUSE
NPI 1255523858
Custodial Care Facility - Adult Care Home in Bloomington, MN

Active since August 16, 2007
4616 W 102ND ST, BLOOMINGTON, MN 55437(952) 893-9078 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Highland House NPPES

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

HIGHLAND HOUSE (NPI 1255523858) is a healthcare organization registered as an adult care home in Bloomington, Minnesota and active in the NPI registry since August 2007. The organization lists Denver Kaufman, President, as its authorized official.

NPPES Registry Identity

NPI1255523858
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMARTIN LM LLC
Location Address4616 W 102ND STBloomington, MN 55437-2612
Mailing Address1401 E 100th StBloomington, MN 55425-2615 · (952) 888-7751
Organization SubpartYes
Authorized OfficialDenver KaufmanPresident · (612) 371-0053
Enumeration DateAugust 16, 2007
Last NPPES UpdateDecember 17, 2008
NPI 1255523858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in MN · 1045533-1
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4616 W 102ND ST, Bloomington, MN 55437

Other Names 1

Doing Business AsHighland House

Other Identifiers 1

Medicaid228487000MN

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 Martin Lm LLC's NPI number?

The NPI number for Martin Lm LLC is 1255523858. It was assigned to this organization in the NPPES registry on August 16, 2007. The provider is doing business as Highland House.

Where is Martin Lm LLC located?

Martin Lm LLC is located at 4616 W 102nd St, Bloomington, MN 55437. The listed phone number is (952) 893-9078.

What is Martin Lm LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Martin Lm LLC was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.