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

Mount Olivet Home

Organization Nursing Facility/Intermediate Care Facility · NPI 1619976974

Mount Olivet Home is a Nursing Facility/Intermediate Care Facility in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

5517 Lyndale Ave S
Minneapolis, MN 55419-1719
Phone: (612) 827-5677
Fax: (612) 821-3241
Show map & directions

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

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 328408 (MN)

Record details

NPI number1619976974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Anderson — Controller · (612) 821-3185
NPI enumeratedJuly 19, 2005
Last updated in NPPESAugust 22, 2020
Mailing address5517 Lyndale Ave S, Minneapolis, MN 55419-1719

Other providers in Minneapolis