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

State of Minnesota Dhs

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1396617098

State of Minnesota Dhs is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bloomington, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10101 1st Ave S
Bloomington, MN 55420-4907
Phone: (952) 948-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1396617098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denisha Anderson — Skills Development Specialist · (952) 948-2040
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address3200 Labore Rd, Vadnais Heights, MN 55110-5186

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