Organization
AVIV HEALTH CARE, INC.
Active
Other names
BRYN MAWR HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY PASELL (COMPTROLLER)
(952) 259-5222
Entity
Organization
Contact information
Practice address
275 PENN AVE N, MINNEAPOLIS, MN 55405-1216
(612) 377-4723
(612) 377-0294
Mailing address
4509 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-4027
(952) 259-5224
(952) 920-5207
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327079
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30329
—
ND
01
—
7100254
MEDICA
MN
01
—
7122599
MEDICA
MN
01
—
8711BR
BLUE CROSS BLUE SHIELD
MN
01
—
NH0006
UCARE
MN
Enumeration date
09/15/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us