Organization Active NPI

Grandpa & Grandma Adult Day Care, Inc.

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1285140368
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GRANDPA & GRANDMA ADULT DAY CARE, INC.
Practice address
2518 N 2ND St
Minneapolis, MN 55411-2233
Phone
(952) 564-1131
NPI assigned
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Fartun WeliNPI 1861075558
Title
President / Owner
Phone
(952) 564-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2518 N 2ND St
Minneapolis, MN 55411-2233

Mailing address

2518 N 2ND St
Minneapolis, MN 55411-2233
Phone (952) 564-1131

National Provider Directory

National Provider Directory
Tax ID family
Grandpa Grandma Adult Day Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2518 N 2nd St
Minneapolis, MN 55411
Phone (952) 564-1131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1285140368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 N 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112233",
            "telephone_number": "952-564-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112233",
            "telephone_number": "952-564-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPA & GRANDMA ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WELI",
        "authorized_official_first_name": "FARTUN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "952-564-1131"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.