Organization
THE PROVIDENCE PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
3720 23RD AVE S, MINNEAPOLIS, MN 55407-3010
(612) 724-5495
Mailing address
3720 23RD AVE S, MINNEAPOLIS, MN 55407-3010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328868
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62845
HP
MN
01
—
7100377
MEDICA
MN
01
—
7122705
MEDICA
MN
01
—
8810NI
BCBS
MN
01
—
NH0131
UCARE
MN
Enumeration date
02/02/2006
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