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

Mrs. Jennier Renee Johnson, PRESIDENT

Individual provider Assisted Living Facility · NPI 1942586532

Mrs. Jennier Renee Johnson, PRESIDENT is an Assisted Living Facility in Brookston, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
Specialties on file
3

Practice location Address checks out

8783 2nd St S
Brookston, MN 55711-0367
Phone: (218) 453-5062
Fax: (218) 453-5064
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 354457 (MN)
Custodial Care Facility Taxonomy 311Z00000X · Licence FBL-26096-34148 (MN)
Adult Care Home Facility Taxonomy 311ZA0620X · Licence 354448 (MN)

Record details

NPI number1942586532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PRESIDENT
Sole proprietorYes
NPI enumeratedOctober 26, 2011
Last updated in NPPESOctober 26, 2011

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