Organization Active NPI

S.E.a. Senior Day Care, LLC

  • Home Health Agency
  • Golden Valley, MN
National Provider Identifier
1063665826
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 13, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.