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SOUTHSIDE LIFE CARE CENTER
NPI 1982879771
Voluntary or Charitable in Minneapolis, MN

Active since April 23, 2008
4105 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 823-0301(612) 823-0775 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Life Care Center NPPES

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

SOUTHSIDE LIFE CARE CENTER (NPI 1982879771) is a healthcare organization registered as a voluntary or charitable in Minneapolis, Minnesota and active in the NPI registry since April 2008. The organization lists Kimberly Rynders, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1982879771
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameSOUTHSIDE LIFE CARE CENTER
Location Address4105 CHICAGO AVEMinneapolis, MN 55407-3144
Mailing Address4105 Chicago AveMinneapolis, MN 55407-3144 · (612) 823-0301 · Fax (612) 823-0775
Phone(612) 823-0301
Fax(612) 823-0775
Organization SubpartNo
Authorized OfficialKimberly RyndersExecutive Director · (612) 823-0301
Enumeration DateApril 23, 2008
✔ NPI 1982879771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
4105 CHICAGO AVE, Minneapolis, MN 55407
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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 Southside Life Care Center's NPI number?

The NPI number for Southside Life Care Center is 1982879771. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Southside Life Care Center located?

Southside Life Care Center is located at 4105 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (612) 823-0301.

What is Southside Life Care Center's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Southside Life Care Center was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.