Miracle Adult Day Care Center of Minnesota

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MIRACLE ADULT DAY CARE CENTER OF MINNESOTA

Practice address

1867 Oakdale Ave
West St Paul, MN 55118-4602

Phone

(612) 203-5814

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Yemane Gadissa Aleku

Title

Ceo

Phone

(612) 203-5814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1447091319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 OAKDALE AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184602",
            "telephone_number": "612-203-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 OAKDALE AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184602",
            "telephone_number": "612-203-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ADULT DAY CARE CENTER OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "ALEKU",
        "authorized_official_first_name": "YEMANE",
        "authorized_official_middle_name": "GADISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-203-5814"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medexpress Urgent Care Minnesota P.C.
• Mendakota Pediatrics LTD
• Metro-Mobile Chiropractic, PC
• Emily Anne Miller, MS, RN, PMHNP-BC
• Minntran
• Abdullahi Abdi Mohamed
• Nora Elizabeth Mulloy, DO
• Kristen Marie Neisen, LPCC, LADC
• Alicia Marie Newman, MSW, LICSW
• Titiana Ngongang

• Adult Day Care Clinic/Center in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.