PHS INTERLUDE FRIDLEY LLC
NPI 1740697291
Skilled Nursing Facility in Fridley, MN

Active since July 16, 2014
520 OSBORNE RD NE, FRIDLEY, MN 55432(763) 230-3131 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phs Interlude Fridley Llc NPPES

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

PHS INTERLUDE FRIDLEY LLC (NPI 1740697291) is a healthcare organization registered as a skilled nursing facility in Fridley, Minnesota and active in the NPI registry since July 2014. The organization lists Nicole Donahue, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1740697291
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePHS INTERLUDE FRIDLEY LLC
Location Address520 OSBORNE RD NEFridley, MN 55432-2718
Mailing Address520 Osborne Rd NeFridley, MN 55432-2718 · (763) 230-3131
Organization SubpartNo
Authorized OfficialNicole DonahueCeo/administrator · (763) 230-3141
Enumeration DateJuly 16, 2014
Last NPPES UpdateDecember 1, 2017
NPI 1740697291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
520 OSBORNE RD NE, Fridley, MN 55432

Other Providers at the Same Location NPPES 8

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

Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Social Worker (Clinical)
520 OSBORNE RD NE
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Counselor (Mental Health)
520 OSBORNE RD NE
FRIDLEY, MN 55432

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 Phs Interlude Fridley LLC's NPI number?

The NPI number for Phs Interlude Fridley LLC is 1740697291. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Phs Interlude Fridley LLC located?

Phs Interlude Fridley LLC is located at 520 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 230-3131.

What is Phs Interlude Fridley LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Phs Interlude Fridley LLC was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.