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NEWTON MANOR
NPI 1649694498
Assisted Living Facility in Bloomington, MN

Active since February 14, 2014CLIA Certified · 2 labs
9889 PENN AVE S, BLOOMINGTON, MN 55431(952) 948-3000 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Newton Manor NPPES

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

NEWTON MANOR (NPI 1649694498) is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since February 2014. The organization holds 2 active CLIA laboratory certificates and lists Mark Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649694498
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRESBYTERIAN HOMES OF BLOOMINGTON, INC
Location Address9889 PENN AVE SBloomington, MN 55431-2912
Mailing Address9889 Penn Ave SBloomington, MN 55431-2912 · (952) 948-3000
Phone(952) 948-3000
Organization SubpartNo
Authorized OfficialMark MeyerCfo · (651) 631-6120
Enumeration DateFebruary 14, 2014
Last NPPES UpdateMarch 12, 2014
✔ NPI 1649694498 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 · 357334
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 1

Other NameNewton Manor

Other Identifiers 1

OtherM347435200MN · Umpi

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 24D2032768

Presbyterian Homes Of Bloomington · Bloomington, MN
Active · expires Nov 14, 2027
CLIA Number24D2032768
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorNathan Dahle
Laboratory Phone(952) 948-3005
Laboratory LocationPresbyterian Homes Of Bloomington9889 Penn Avenue South, Bloomington, MN 55431
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D0402173

Presbyterian Homes Of Bloomington · Bloomington, MN
Active · expires Aug 31, 2026
CLIA Number24D0402173
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCele Hodgin
Laboratory Phone(952) 888-9461
Laboratory LocationPresbyterian Homes Of Bloomington401 W 95th Street, Bloomington, MN 55420
CLIA data matches this NPI record on: Name
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
Assisted Living Facility
9889 PENN AVE S
BLOOMINGTON, MN 55431
Hennepin County (952) 942-2676
PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
Skilled Nursing Facility
9889 PENN AVE S
BLOOMINGTON, MN 55431
Hennepin County (651) 631-6450

Frequently Asked Questions

What is PRESBYTERIAN HOMES OF BLOOMINGTON, INC's NPI number?

The NPI number assigned to this healthcare provider is 1649694498, enumerated as an "organization" on February 14, 2014.

Where is the provider located?

The provider is located at 9889 PENN AVE S BLOOMINGTON, MN 55431 and the phone number is (952) 948-3000.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.

What insurance does PRESBYTERIAN HOMES OF BLOOMINGTON, INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.