Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Martin Luther Manor

Skilled Nursing Facility in Bloomington, MN · enumerated 2006 · authorized official Dennis Johnson, Cfo.

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

National Provider Identifier

1750301578

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Registry record

Entity type Organization (Type 2)

Legal business name Martin Luther Manor

Practice address 1401 E 100th St, Bloomington, MN, 55425

Phone (952) 888-7751

Fax (952) 888-5465

Enumeration date Jul 21, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 331915 (MN) Primary

Authorized official

Name Dennis Johnson

Title Cfo

Phone (651) 766-4300

Other identifiers

Identifier	Type	State	Issuer
8606MA	Other	MN	BLUE CROSS BLUE SHIELD
NH0033	Other	MN	UCARE
7122647	Other	-	MEDICA
913423300	Medicaid	MN	-

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

Where is Martin Luther Manor located?

The practice location on file with NPPES is in Bloomington, MN.

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.

Providers at this address

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