Organization Active NPI

Absolute Residential Care L.L.C.

  • Assisted Living Facility
  • Minneapolis, MN
National Provider Identifier
1083311401
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ABSOLUTE RESIDENTIAL CARE L.L.C.
Practice address
3959 Lyndale Ave N Apt 1
Minneapolis, MN 55412-2116
Phone
(612) 990-0414
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Edao Bakala Dawano
Title
Ceo
Phone
(612) 990-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3959 Lyndale Ave N Apt 1
Minneapolis, MN 55412-2116

Mailing address

9177 Nevada Ave N
Brooklyn Park, MN 55445-3257
Phone (612) 990-0414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1083311401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9177 NEVADA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453257",
            "telephone_number": "612-990-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 LYNDALE AVE N APT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122116",
            "telephone_number": "612-990-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE RESIDENTIAL CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "DAWANO",
        "authorized_official_first_name": "EDAO",
        "authorized_official_middle_name": "BAKALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-990-0414"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "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 Feb 15, 2023; 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.