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

Providence Health Care Services

Organization Assisted Living Facility · NPI 1457047037

Providence Health Care Services is an Assisted Living Facility in Blaine, Minnesota. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

781 103rd Ave NE
Blaine, MN 55434-4507
Phone: (612) 456-2773
Fax: (763) 374-4469
Show map & directions

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

Additional practice locations (1)

  • 15236 Germanium Cir Nw, Ramsey, MN 55303-5163 — (763) 444-1811

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1457047037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Kenyanya — Ceo · (612) 456-2773
Other names Sunrise Assisted Living
NPI enumeratedApril 17, 2023
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address781 103rd Ave Ne, Blaine, MN 55434-4507

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