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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRESBYTERIAN HOMES OF BLOOMINGTON, INC
NPI 1649694498
Assisted Living Facility in Bloomington, MN

Active since February 14, 2014CLIA Certified · 2 labs
10000 NEWTON AVENUE SOUTH, BLOOMINGTON, MN 55431(952) 948-3000(651) 746-2752 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Presbyterian Homes Of Bloomington, Inc NPPES

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

PRESBYTERIAN HOMES OF BLOOMINGTON, INC (NPI 1649694498), doing business as Newton Manor, 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 Heidi Peterson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649694498
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRESBYTERIAN HOMES OF BLOOMINGTON, INC
Location Address10000 NEWTON AVENUE SOUTHBloomington, MN 55431-2912
Mailing Address10000 Newton Avenue SouthBloomington, MN 55431-2912 · (952) 948-3000 · Fax (651) 746-2752
Phone(952) 948-3000
Fax(651) 746-2752
Organization SubpartNo
Authorized OfficialHeidi PetersonCfo · (651) 631-6162
Enumeration DateFebruary 14, 2014
Last NPPES UpdateSeptember 30, 2026
✔ 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.
10000 NEWTON AVENUE SOUTH, Bloomington, MN 55431
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Other Names 1

Doing Business AsNewton Manor

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 24D0402173

Presbyterian Homes Of Bloomington · Bloomington, MN
Active · expires Aug 31, 2028
CLIA Number24D0402173
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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.

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: Name
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 Presbyterian Homes Of Bloomington, Inc's NPI number?

The NPI number for Presbyterian Homes Of Bloomington, Inc is 1649694498. It was assigned to this organization in the NPPES registry on February 14, 2014. The provider is doing business as Newton Manor.

Where is Presbyterian Homes Of Bloomington, Inc located?

Presbyterian Homes Of Bloomington, Inc is located at 10000 Newton Avenue South, Bloomington, MN 55431. The listed phone number is (952) 948-3000.

What is Presbyterian Homes Of Bloomington, Inc's specialty?

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

Does Presbyterian Homes Of Bloomington, 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 Presbyterian Homes Of Bloomington, Inc was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.