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

Southside Life Care Center

Organization Voluntary or Charitable Agency · NPI 1982879771

Southside Life Care Center is a Voluntary or Charitable Agency in Minneapolis, Minnesota. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4105 Chicago Ave
Minneapolis, MN 55407-3144
Phone: (612) 823-0301
Fax: (612) 823-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Voluntary or Charitable Agency (primary) Taxonomy 251V00000X

Record details

NPI number1982879771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Rynders — Executive Director · (612) 823-0301
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008
Mailing address4105 Chicago Ave, Minneapolis, MN 55407-3144

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