Burhan Adam Daynab, ASSISTED LIVING

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1609 Edgewood Ave S
St Louis Park, MN 55426-2101

Phone

(952) 564-0682

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Burhan Adam Daynab Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1093355216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 EDGEWOOD AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262101",
            "telephone_number": "952-564-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 EDGEWOOD AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262101",
            "telephone_number": "952-564-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYNAB",
        "first_name": "BURHAN",
        "middle_name": "ADAM",
        "credential": "ASSISTED LIVING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BURHAN",
            "last_name": "DAYNAB",
            "middle_name": "ADAM",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Home Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.