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Redeemer Residence, Inc.

Skilled Nursing Facility in Minneapolis, MN · enumerated 2005 · authorized official Paul Mickelson, Corporate A/R Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619965365

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Registry record

Entity type Organization (Type 2)
Legal business name Redeemer Residence, Inc.
Other name <Unavail>
Practice address 625 W 31st St, Minneapolis, MN, 55408
Phone (612) 827-2555
Fax (612) 827-0450
Enumeration date Oct 7, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 327804 (MN) Primary

Authorized official

Name Paul Mickelson
Title Corporate A/R Manager
Phone (952) 259-4485

Other identifiers

Identifier Type State Issuer
599340700 Medicaid MN -
327804 Other MN MINNESOTA STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Redeemer Residence, Inc. located?
The practice location on file with NPPES is in Minneapolis, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.