Organization Active NPI

Lao Advancement Organization of America (Laoa)

  • Adult Day Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1003261983
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1075697 Issued in MN
Legal business name
LAO ADVANCEMENT ORGANIZATION OF AMERICA (LAOA)
Practice address
2648 W Broadway Ave
Minneapolis, MN 55411-1004
Phone
(612) 302-9154
Fax
(612) 522-2431
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Khamchanh NMN Phanthavong, PH.D.
Title
Executive Director
Phone
(612) 302-9154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1075697 MN Primary

Addresses

Primary practice location

2648 W Broadway Ave
Minneapolis, MN 55411-1004

Mailing address

2648 W Broadway Ave
Minneapolis, MN 55411-1004
Phone (612) 302-9154

National Provider Directory

National Provider Directory

Locations

2648 W Broadway Ave
Minneapolis, MN 55411
Phone (612) 302-9154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1003261983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111004",
            "telephone_number": "612-302-9154",
            "fax_number": "612-522-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111004",
            "telephone_number": "612-302-9154",
            "fax_number": "612-522-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAO ADVANCEMENT ORGANIZATION OF AMERICA (LAOA)",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "PHANTHAVONG",
        "authorized_official_first_name": "KHAMCHANH",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-302-9154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1075697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.