WEST BLOOMINGTON RESIDENCE
NPI 1366566572
Assisted Living Facility in Minneapolis, MN

Active since March 16, 2007
10441 JOHNSON AVE S, MINNEAPOLIS, MN 55437(763) 550-1774 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Bloomington Residence NPPES

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

WEST BLOOMINGTON RESIDENCE (NPI 1366566572) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since March 2007. The organization lists Marcia Sue Dooner, Director, as its authorized official.

NPPES Registry Identity

NPI1366566572
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWEST BLOOMINGTON RESIDENCE
Location Address10441 JOHNSON AVE SMinneapolis, MN 55437-2819
Mailing Address10441 Johnson Ave SMinneapolis, MN 55437-2819 · (763) 550-1774
Organization SubpartNo
Authorized OfficialMarcia Sue DoonerDirector · (763) 550-1774
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 25, 2008
NPI 1366566572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MN · 334473
Definition
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.
10441 JOHNSON AVE S, Minneapolis, MN 55437

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 West Bloomington Residence's NPI number?

The NPI number for West Bloomington Residence is 1366566572. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is West Bloomington Residence located?

West Bloomington Residence is located at 10441 Johnson Ave S, Minneapolis, MN 55437. The listed phone number is (763) 550-1774.

What is West Bloomington Residence's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for West Bloomington Residence was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.