Organization Active NPI

Kekeli Care Center LLC

  • Assisted Living Facility
  • Maple Grove, MN
National Provider Identifier
1376310193
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KEKELI CARE CENTER LLC
Practice address
18315 82ND PL N
Maple Grove, MN 55311-1627
Phone
(952) 955-7502
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Folly D Dossevi
Title
Manager
Phone
(952) 201-5712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

18315 82ND PL N
Maple Grove, MN 55311-1627

Mailing address

18315 82ND PL N
Maple Grove, MN 55311-1627
Phone (952) 955-7502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1376310193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 82ND PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111627",
            "telephone_number": "952-955-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 82ND PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111627",
            "telephone_number": "952-955-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEKELI CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "DOSSEVI",
        "authorized_official_first_name": "FOLLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-201-5712"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.