Minnesota Adult Day Care Center Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1058898 Issued in MN

Legal business name

MINNESOTA ADULT DAY CARE CENTER SERVICES

Practice address

2910 Pillsbury Street
#233
Minneapolis, MN 55408

Phone

(612) 532-1409

Fax

(612) 235-4617

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Basra J Hersi

Title

Executive Director

Phone

(612) 532-1409

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1568747277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE",
            "address_2": "SUIT#233 AND 235",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082297",
            "telephone_number": "612-532-1409",
            "fax_number": "612-235-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY STREET",
            "address_2": "#233",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-532-1409",
            "fax_number": "612-235-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ADULT DAY CARE CENTER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "BASRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-532-1409",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1058898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, 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 Oct 13, 2011; 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.