Adena LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PENDING Issued in MN

Legal business name

ADENA LLC

Practice address

78 St. Croix Trail S
Suite 120
Lakeland, MN 55043

Phone

(612) 328-1152

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dena Marie Belisle

Title

Owner

Phone

(612) 328-1152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1174795009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ST. CROIX TRAIL S",
            "address_2": "SUITE 120",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "55043",
            "telephone_number": "612-328-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 ST. CROIX TRAIL S",
            "address_2": "SUITE 120",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "55043",
            "telephone_number": "612-328-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "BELISLE",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-328-1152"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lakeland, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.