Loyal Aduly Daycare

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

LOYAL ADULY DAYCARE

Practice address

3055 Old Highway 8 Ste 103
St Anthony, MN 55418-2591

Phone

(612) 345-4286

Fax

(612) 259-8440

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Abdisa Nagayo

Title

Director

Phone

(612) 345-4286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1083346969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 103",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182591",
            "telephone_number": "612-345-4286",
            "fax_number": "612-259-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 103",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182591",
            "telephone_number": "612-345-4286",
            "fax_number": "612-259-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL ADULY DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "NAGAYO",
        "authorized_official_first_name": "ABDISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-345-4286"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latimer Medical LLC
• Lifeline Care Center
• Lighthouse Support Services Inc.
• Limitless Health Care LLC
• Kaycie Lindeman, RDN, LD
• Bahjo Hussein Mahamud, LICSW
• Sandra Germain Malone
• Christie Lynn Manussier
• Maplewood Podiatry Clinic
• Adna Maxamed

• Adult Companion in St Anthony, MN
• Providers in St Anthony, MN by specialty
• Adult Companion in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.