TP
THE PROVIDENCE PLACE
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MINNEAPOLIS, MN
Licensed since
2006
Rate
—
Federal compliance record
Total fines$136,524
Payment denials / penalties4
Abuse flagNone on record
Federal identifiers
NPI registry number1578535886
CMS Certification Number (CCN)245271
Agency details
Avg residents / day157
OwnershipNon profit - Corporation
Chain affiliationLIFESPARK
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameHOWIE GROFF
TitlePRESIDENT
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