Organization Active NPI

Kang Le LLC

  • Adult Day Care Clinic/Center
  • Edina, MN
National Provider Identifier
1023456092
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1064338 Issued in MN
Legal business name
KANG LE LLC
Doing business as
Kang Le Adult Day Care Center
Practice address
5593 W 78TH St
Edina, MN 55439-2701
Phone
(612) 208-3848
NPI assigned
Jun 11, 2013
Organization subpart
Yes
Parent organization
KANG LE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Lixin Qin, RN, L.ACNPI 1023182300
Title
President
Phone
(612) 208-3848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1064338 MN Primary

Addresses

Primary practice location

5593 W 78TH St
Edina, MN 55439-2701

Mailing address

17814 Steading Rd
Eden Prairie, MN 55347-2779
Phone (612) 384-5953

Other practice location 1

6632 Penn Ave S
Richfield, MN 55423-2026
Phone (612) 208-3848

Other names 1

  • Kang Le Adult Day Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kangle LLC2 organizations share this tax ID, including this one
Part of
Kangle LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5593 W 78th St
Edina, MN 55439
Phone (612) 208-3848

6632 Penn Ave S
Richfield, MN 55423
Phone (612) 208-3848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1023456092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17814 STEADING RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472779",
            "telephone_number": "612-384-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5593 W 78TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392701",
            "telephone_number": "612-208-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6632 Penn Ave S",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554232026",
            "country_code": "US",
            "telephone_number": "612-208-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANG LE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KANG LE LLC",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "QIN",
        "authorized_official_first_name": "LIXIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-208-3848",
        "authorized_official_credential": "RN, L.AC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1064338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kang Le Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.