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STATE OF MINNESOTA DHS
NPI 1396617098
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bloomington, MN

Active since September 22, 2025
10101 1ST AVE S, BLOOMINGTON, MN 55420(952) 948-2040 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About State Of Minnesota Dhs NPPES

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

STATE OF MINNESOTA DHS (NPI 1396617098) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bloomington, Minnesota and active in the NPI registry since September 2025. The organization lists Denisha J Anderson, Skills Development Specialist, as its authorized official.

NPPES Registry Identity

NPI1396617098
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSTATE OF MINNESOTA DHS
Location Address10101 1ST AVE SBloomington, MN 55420-4907
Mailing Address3200 Labore RdVadnais Heights, MN 55110-5186 · (651) 539-7200 · Fax (651) 431-7505
Phone(952) 948-2040
Organization SubpartNo
Authorized OfficialDenisha J AndersonSkills Development Specialist · (952) 948-2040
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1396617098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
10101 1ST 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 State Of Minnesota Dhs's NPI number?

The NPI number for State Of Minnesota Dhs is 1396617098. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is State Of Minnesota Dhs located?

State Of Minnesota Dhs is located at 10101 1st Ave S, Bloomington, MN 55420. The listed phone number is (952) 948-2040.

What is State Of Minnesota Dhs's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for State Of Minnesota Dhs was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.