MEDICARE: MINNESOTA AGE AND OPPORTUNITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	02153	MN

General Provider Information

NPI Number	:	1699774521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINNESOTA AGE AND OPPORTUNITY

Provider Business Mailing Address
First Line	:	2021 E HENNEPIN AVE
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2700
Country	:	US
Telephone Number	:	612-617-7822
Fax Number	:	612-379-0732

Provider Business Practice Location Address
First Line	:	2021 E HENNEPIN AVE
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2700
Country	:	US
Telephone Number	:	612-617-7822
Fax Number	:	612-379-0732

Authorized Official
Title or Position	:	DIR. OF SENIOR HEALTH AND NUTRITION
Name	:	MS. NADINE MARY REISER
Credential	:	MBA
Telephone Number	:	612-617-7817

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1083655898 — DR. DAVID JEFFREY MAIR MD
Practice Location Address:

2021 E HENNEPIN AVE , STE 330
MINNEAPOLIS, MN
55413-2700

Practice Phone: 612-435-7200
Practice Fax: 612-435-7201

1275629446 — MS. NANCY EILEEN ANDERSON LICSW
Practice Location Address:

2021 E HENNEPIN AVE STE 100
MINNEAPOLIS, MN
55413-2700

Practice Phone: 612-259-1717
Practice Fax: 612-259-1789

1871664722 — SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Practice Location Address:

2021 E HENNEPIN AVE , SUITE 330
MINNEAPOLIS, MN
55413-2700

Practice Phone: 612-435-7200
Practice Fax: 612-435-7201

1831232164 — MICHAEL R ROTHWEILER MSW
Practice Location Address:

2700 SUMMER ST NE , UNIVERSITY DAY COMMUNITY
MINNEAPOLIS, MN
55413-2820

Practice Phone: 612-627-4107
Practice Fax:

1255534640 — REGENTS OF THE UNIVERSITY OF MINNESOTA
Practice Location Address:

2700 SUMMER ST NE
MINNEAPOLIS, MN
55413-2820

Practice Phone: 612-627-4107
Practice Fax:

1023216108 — MS. FRANCES NELSON LESICKO M.A.
Practice Location Address:

2021 E HENNEPIN AVE
MINNEAPOLIS, MN
55413-2700

Practice Phone: 651-389-4680
Practice Fax: 651-389-4691

Directions to “MINNESOTA AGE AND OPPORTUNITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.