Provider Demographics
NPI:1265239669
Name:RESCARE MINNESOTA, INC.
Entity type:Organization
Organization Name:RESCARE MINNESOTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL ADMISSIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALZL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LADC
Authorized Official - Phone:320-333-8109
Mailing Address - Street 1:6120 EARLE BROWN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-4100
Mailing Address - Country:US
Mailing Address - Phone:763-277-1020
Mailing Address - Fax:763-537-7162
Practice Address - Street 1:6120 EARLE BROWN DR STE 100
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-4100
Practice Address - Country:US
Practice Address - Phone:763-277-1020
Practice Address - Fax:763-537-7162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESCARE MINNESOTA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness