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ANDREW RESIDENCE
NPI 1861452278
Intermediate Care Facility, Mental Illness in Minneapolis, MN

Active since March 28, 2006CLIA 24D0401289 · Waiver
1215 S 9TH ST, MINNEAPOLIS, MN 55404(612) 333-0111(612) 338-1734 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Residence NPPES

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

ANDREW RESIDENCE (NPI 1861452278) is a healthcare organization registered as an intermediate care facility, mental illness in Minneapolis, Minnesota and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Karen Marie Foy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861452278
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameANDREW RESIDENCE MANAGEMENT INC
Location Address1215 S 9TH STMinneapolis, MN 55404-1710
Mailing Address1215 S 9th StMinneapolis, MN 55404-1710 · (612) 333-0111 · Fax (612) 338-1734
Phone(612) 333-0111
Fax(612) 338-1734
Organization SubpartNo
Authorized OfficialKaren Marie FoyExecutive Director · (612) 333-0111
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861452278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
1215 S 9TH ST, Minneapolis, MN 55404
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Other Names 1

Doing Business AsAndrew Residence

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 24D0401289

Andrew Residence · Minneapolis, MN
Active · expires Aug 31, 2026
CLIA Number24D0401289
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJennifer M. Fitch
Laboratory Phone(612) 333-0111
Laboratory LocationAndrew Residence1215 S 9th Street, Minneapolis, MN 55404
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 Andrew Residence Management Inc's NPI number?

The NPI number for Andrew Residence Management Inc is 1861452278. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is doing business as Andrew Residence.

Where is Andrew Residence Management Inc located?

Andrew Residence Management Inc is located at 1215 S 9th St, Minneapolis, MN 55404. The listed phone number is (612) 333-0111.

What is Andrew Residence Management Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Andrew Residence Management Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0401289) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Andrew Residence Management Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.