Benedictine Health Center of Minneapolis – Skilled Nursing Facility, NPI 1669478129

Benedictine Health Center of Minneapolis is a healthcare provider. based in Minneapolis, Minnesota. specializing in Skilled Nursing Facility. The organization holds a License No. 327352 (MN). The NPI Number for Benedictine Health Center of Minneapolis is 1669478129

Main info

Organization
Name
Benedictine Health Center of Minneapolis
NPI
1669478129
Phone
(612) 879-2811
Address
618 E 17TH ST
Authorized Official
MR. PETER MOMANYI ADMINISTRATOR / CEO LNHA
Enumeration Date
21 June 2005
Last Update Date
20 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Benedictine Health Center of Minneapolis

  • 618, East 17th Street, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554041506

    Phone: (612) 879-2811

    Fax: (612) 879-2917

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2002-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20021010000022OSkilled Nursing FacilityMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55404)

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Reviews

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Frequently asked questions

Is there an official ID for Benedictine Health Center of Minneapolis in U.S. healthcare records?
The official identifier for Benedictine Health Center of Minneapolis is NPI 1669478129.
Would Benedictine Health Center of Minneapolis appear as active to a payer?
You can treat Benedictine Health Center of Minneapolis as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for Benedictine Health Center of Minneapolis?
At a glance, Benedictine Health Center of Minneapolis is tied to Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Is Benedictine Health Center of Minneapolis located near Minneapolis?
Benedictine Health Center of Minneapolis currently maps to Minneapolis, Minnesota in this extract.
Can I trust this NPI listing for Benedictine Health Center of Minneapolis?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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