Valley Senior Services Alliance

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1064266-1-ADC Issued in MN

Legal business name

VALLEY SENIOR SERVICES ALLIANCE

Doing business as

Boutwells Landing Adult Day Program

Practice address

5610 Norwich Parkway
Oak Park Heights, MN 55082

Phone

(851) 275-5801

Fax

(651) 275-5802

NPI assigned

May 18, 2011

Organization subpart

Yes

Parent organization

VALLEY SENIOR SERVICES ALLIANCEAs reported in NPPES

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

Authorized official

Name

Rebecca A. Conway

Title

Executive Director of Creative Inde

Phone

(651) 631-6123

Specialties & licenses 1

Addresses

Other names 1

• Boutwells Landing Adult Day Program Doing business as

Part of

Valley Senior Services Alliance

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1629361092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE NORTH",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-631-6187",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 NORWICH PARKWAY",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "851-275-5801",
            "fax_number": "651-275-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SENIOR SERVICES ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY SENIOR SERVICES ALLIANCE",
        "enumeration_date": "2011-05-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CREATIVE INDE",
        "authorized_official_telephone_number": "651-631-6123"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1064266-1-ADC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boutwells Landing Adult Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Oak Park Heights, MN
• Providers in Oak Park Heights, 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 Feb 18, 2013; 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.