MEDICARE: RESCARE MINNESOTA, INC.

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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1053882027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESCARE MINNESOTA, INC.

Provider Business Mailing Address
First Line	:	6600 FRANCE AVE S STE 350
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1810
Country	:	US
Telephone Number	:	800-388-5150
Fax Number	:	952-922-6885

Provider Business Practice Location Address
First Line	:	7701 ABLE ST NE
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2809
Country	:	US
Telephone Number	:	763-786-5317
Fax Number	:

Authorized Official
Title or Position	:	VP & SR ASST GENERAL COUNSEL
Name	:	MARY PATRICIA RODENBERG-ROBERTS
Credential	:
Telephone Number	:	952-836-2234

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	05/20/2026

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