Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Black Vine LLC

Organization Case Management Agency · NPI 1326359159

Black Vine LLC is a Case Management Agency in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4445 W 77th St Ste 122
Edina, MN 55435-5133
Phone: (952) 960-2266
Fax: (952) 960-2267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 348111 (MN)

Record details

NPI number1326359159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Mitchell — Owner · (952) 960-2266
Other names Comforcare Senior Services
NPI enumeratedJune 25, 2010
Last updated in NPPESJune 25, 2010
Mailing address4445 W 77th St, Suite 122, Edina, MN 55435-5133

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