Active NPI
S.E.a. Senior Day Care, LLC
- Home Health Agency
- Golden Valley, MN
National Provider Identifier
1063665826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- S.E.A. SENIOR DAY CARE, LLC
- Practice address
- 2365 Louisiana Ave N
Golden Valley, MN 55427-3632 - Phone
- (612) 234-7799
- Fax
- (888) 611-4665
- NPI assigned
- Oct 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Truong Nguyen
- Title
- Officer
- Phone
- (612) 234-7799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MN | Primary |
Addresses
Primary practice location
2365 Louisiana Ave N
Golden Valley, MN 55427-3632
Mailing address
PO Box 7604
Minneapolis, MN 55407
Phone (612) 234-7799
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620864000000",
"number": "1063665826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7604",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-234-7799",
"fax_number": "888-611-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 LOUISIANA AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554273632",
"telephone_number": "612-234-7799",
"fax_number": "888-611-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.E.A. SENIOR DAY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-24",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TRUONG",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "612-234-7799"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.