Organization Active NPI

Client Centered Care

  • Adult Care Home Facility
  • Saint Paul, MN
National Provider Identifier
1487067153
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CLIENT CENTERED CARE
Practice address
393 Dunlap St N
Suite 105
Saint Paul, MN 55104-4200
Phone
(651) 600-3869
Fax
(651) 797-4308
NPI assigned
Jun 10, 2014
Organization subpart
Yes
Parent organization
CLIENT CENTERED HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Bradly James Ely, BSN RN CRRN
Title
Director of Nursing
Phone
(651) 600-3869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

393 Dunlap St N
Suite 105
Saint Paul, MN 55104-4200

Mailing address

393 Dunlap Street North
Suite 105
Saint Paul, MN 55104
Phone (651) 600-3869

National Provider Directory

National Provider Directory
Part of
Client-Centered Home Care Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1487067153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP STREET NORTH",
            "address_2": "SUITE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-600-3869",
            "fax_number": "651-797-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "SUITE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-600-3869",
            "fax_number": "651-797-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIENT CENTERED CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLIENT CENTERED HOME CARE",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "BRADLY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "651-600-3869",
        "authorized_official_credential": "BSN RN CRRN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.