Forest Gate Adult Daycare L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOREST GATE ADULT DAYCARE L.L.C.

Practice address

451 E Saint Germain St
Saint Cloud, MN 56304-4649

Phone

(320) 828-1980

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Fartun Jama

Title

Owner

Phone

(320) 828-1980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1477273670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563044649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563044649",
            "telephone_number": "320-828-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST GATE ADULT DAYCARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "FARTUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-828-1980"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• For All of Maternity LLC
• Anna Forberg
• Wendy Jean Forbregd, LMFT
• Michael Rodney Forbrook, PHARM.D.
• Lucas Ford
• Lauren A Forest, MA LP
• Jesse Logan Formanek, RBT
• Erin Forsell, RN CNP
• James L Forsting, MS ACATA LISW
• Jeffrey Paul Forstner, DPT

• Clinic/Center in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.