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

Phs Maranatha Inc

Organization Nursing Facility/Intermediate Care Facility · NPI 1346245446

Phs Maranatha Inc is a Nursing Facility/Intermediate Care Facility in Brooklyn Center, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5409 69th Ave N
Brooklyn Center, MN 55429-1505
Phone: (763) 549-9600
Fax: (763) 549-9636
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 328432 (MN)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence 328432 (MN)

Record details

NPI number1346245446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Meyer — Cfo · (651) 631-6102
Other names Phs Maranatha Inc.; Maranatha Care Center
NPI enumeratedJune 15, 2005
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address2845 Hamline Ave N, Roseville, MN 55113-7127

Other providers in Brooklyn Center