Elder Care Day Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1076075 Issued in MN

Legal business name

ELDER CARE DAY SERVICES, LLC

Doing business as

Elder Care Day Services

Practice address

1774 Cope Ave.
Maplewood, MN 55109

Phone

(651) 734-3913

Fax

(651) 440-9118

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Souk Her

Title

Owner / Center Coordinator

Phone

(651) 734-3913

Specialties & licenses 2

Addresses

Other names 1

• Elder Care Day Services Doing business as

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1558745901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 COPE AVE.",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-734-3913",
            "fax_number": "651-440-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 COPE AVE.",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-734-3913",
            "fax_number": "651-440-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "SOUK",
        "authorized_official_title_or_position": "OWNER / CENTER COORDINATOR",
        "authorized_official_telephone_number": "651-734-3913"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1076075",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "1076075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Care Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ecumen
• Ecumen
• Sahar Edalatpour, DDS
• Karen Edquist, M.ED.
• Stacey Ehrhardt Koenigsfeld
• Kristie Heinen Elghazi, CNP
• Ronda Ellevold, ATC
• Angela Elliot, D.C.
• Siara Zee Elovich, D.D.S.
• Erik Anders Engelbrektson, DMD

• Adult Day Care Clinic/Center in Maplewood, MN
• Providers in Maplewood, 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 Jan 6, 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.