Healthcare Provider Details

I. General information

NPI: 1659238749
Provider Name (Legal Business Name): THE GENEVA SUITES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9145 MEADOWVIEW RD
BLOOMINGTON MN
55425-2459
US

IV. Provider business mailing address

8100 OLD CEDAR AVE S STE 105
MINNEAPOLIS MN
55425-1857
US

V. Phone/Fax

Practice location:
  • Phone: 612-208-8888
  • Fax: 612-358-2222
Mailing address:
  • Phone: 612-208-8888
  • Fax: 612-358-2222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SL0600X
TaxonomyLong-Term Care Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MARLENA TERESA HEMENWAY
Title or Position: CXO
Credential: LALD
Phone: 612-275-8572