Organization Active NPI

Oakdale Care Community, LLC

  • Adult Care Home Facility
  • Oakdale, MN
National Provider Identifier
1104612498
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
OAKDALE CARE COMMUNITY, LLC
Practice address
4952 Grenwich Ave N
Oakdale, MN 55128-2059
Phone
(651) 428-2222
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Loveness Zindawa
Title
Owner
Phone
(651) 428-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4952 Grenwich Ave N
Oakdale, MN 55128-2059

Mailing address

4952 Grenwich Ave N
Oakdale, MN 55128-2059
Phone (651) 428-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1104612498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 GRENWICH AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551282059",
            "telephone_number": "651-428-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 GRENWICH AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551282059",
            "telephone_number": "651-428-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE CARE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "ZINDAWA",
        "authorized_official_first_name": "LOVENESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-428-2222"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.