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PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
NPI 1407680473
Assisted Living Facility in Bloomington, MN

Active since August 30, 2024CLIA 24D0908191 · Waiver
9889 PENN AVE S, BLOOMINGTON, MN 55431(952) 942-2676(952) 948-3081 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2025, Feb 25, 2025 (2 updates tracked since 2025).

About Presbyterian Homes Bloomington Care Center, Inc NPPES

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

PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC (NPI 1407680473), doing business as Presbyterian Homes Of Bloomington, is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Mark T Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407680473
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
Location Address9889 PENN AVE SBloomington, MN 55431-2912
Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6432 · Fax (651) 631-6122
Phone(952) 942-2676
Fax(952) 948-3081
Organization SubpartNo
Authorized OfficialMark T MeyerCfo · (651) 631-6102
Enumeration DateAugust 30, 2024
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1407680473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
9889 PENN AVE S, Bloomington, MN 55431
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Other Names 2

Doing Business AsPresbyterian Homes Of Bloomington
Other NamePresbyterian Homes Of Bloomington - Al

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0908191

Presbyterian Home Care · Roseville, MN
Active · expires Oct 30, 2027
CLIA Number24D0908191
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorMary B. Zabel
Laboratory Phone(651) 631-6038
Laboratory LocationPresbyterian Home Care2845 Hamline Ave N, Roseville, MN 55113
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANNAH J WALKER PT, DPT
Physical Therapist
9889 PENN AVE S
BLOOMINGTON, MN 55431
Hennepin County (952) 948-3000
PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
Skilled Nursing Facility
9889 PENN AVE S
BLOOMINGTON, MN 55431
Hennepin County (651) 631-6450
PRESBYTERIAN HOMES OF BLOOMINGTON, INC
Assisted Living Facility
9889 PENN AVE S
BLOOMINGTON, MN 55431
Hennepin County (952) 948-3000

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 Presbyterian Homes Bloomington Care Center, Inc's NPI number?

The NPI number for Presbyterian Homes Bloomington Care Center, Inc is 1407680473. It was assigned to this organization in the NPPES registry on August 30, 2024. The provider is doing business as Presbyterian Homes of Bloomington. The provider is also known as Presbyterian Homes of Bloomington - AL.

Where is Presbyterian Homes Bloomington Care Center, Inc located?

Presbyterian Homes Bloomington Care Center, Inc is located at 9889 Penn Ave S, Bloomington, MN 55431. The listed phone number is (952) 942-2676.

What is Presbyterian Homes Bloomington Care Center, Inc's specialty?

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

Does Presbyterian Homes Bloomington Care Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0908191) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presbyterian Homes Bloomington Care Center, Inc was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.