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MIDWEST RESIDENTIAL INC
NPI 1578075750
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bloomington, MN

Active since October 28, 2017CLIA Certified · 2 labs
10917 HUMBOLDT AVE S, BLOOMINGTON, MN 55431(651) 315-2649 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2020, Feb 18, 2019, Oct 28, 2017 (3 updates tracked since 2017).

About Midwest Residential Inc NPPES

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

MIDWEST RESIDENTIAL INC (NPI 1578075750) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Bloomington, Minnesota and active in the NPI registry since October 2017. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Faiza Hassan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578075750
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMIDWEST RESIDENTIAL INC
Location Address10917 HUMBOLDT AVE SBloomington, MN 55431-4221
Mailing Address7400 Cedar Ave SMinneapolis, MN 55423-4647
Phone(651) 315-2649
Organization SubpartNo
Authorized OfficialFaiza HassanCeo · (651) 315-2649
Enumeration DateOctober 28, 2017
Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1578075750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MN · 381821
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
10917 HUMBOLDT AVE S, Bloomington, MN 55431
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Secondary Practice Locations 4

Location 110449 Johnson Ave SBloomington, MN 55437-2819 · Phone (651) 315-2649 · Fax (612) 979-2604
Location 210325 Zinran Ave SBloomington, MN 55438-1961 · Phone (651) 315-2649
Location 35620 W 99th StBloomington, MN 55437-2227 · Phone (651) 315-2649 · Fax (612) 979-2604
Location 47800 W 101st StBloomington, MN 55438-2071 · Phone (651) 315-2649 · Fax (612) 979-2604

CLIA Laboratory Certificates CMS CLIA 2

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 24D2146918

Midwest Residential · Bloomington, MN
Active · expires Apr 9, 2028
CLIA Number24D2146918
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorFaiza N. Hassan
Laboratory Phone(651) 315-2649
Laboratory LocationMidwest Residential10917 Humboldt Ave S, Bloomington, MN 55431
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2166252

Midwest Residential · Bloomington, MN
Active · expires May 13, 2027
CLIA Number24D2166252
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorFaiza Hassan
Laboratory Phone(651) 315-2649
Laboratory LocationMidwest Residential10325 Zinran Ave S, Bloomington, MN 55438
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Midwest Residential Inc's NPI number?

The NPI number for Midwest Residential Inc is 1578075750. It was assigned to this organization in the NPPES registry on October 28, 2017.

Where is Midwest Residential Inc located?

Midwest Residential Inc is located at 10917 Humboldt Ave S, Bloomington, MN 55431. The listed phone number is (651) 315-2649.

What is Midwest Residential Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Midwest Residential Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Midwest Residential Inc was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.