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

Martin Luther Manor

Organization Skilled Nursing Facility · NPI 1750301578

Martin Luther Manor is a Skilled Nursing Facility in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1401 E 100th St
Bloomington, MN 55425-2615
Phone: (952) 888-7751
Fax: (952) 888-5465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 331915 (MN)

Record details

NPI number1750301578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Johnson — Cfo · (651) 766-4300
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3530 Lexington Ave N, Saint Paul, MN 55126-8164

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