Lakes Adult Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LAKES ADULT DAY CARE INC

Practice address

1516 East Lake Street
Suite 200
Minneapolis, MN 55407

Phone

(612) 483-9769

Fax

(612) 435-4934

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Khadar Jigre Adan

Title

Owner

Phone

(425) 829-6945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1093248585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 EAST LAKE STREET",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-483-9769",
            "fax_number": "612-435-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 EAST LAKE STREET",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-483-9769",
            "fax_number": "612-435-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "KHADAR",
        "authorized_official_middle_name": "JIGRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-829-6945"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.