Active NPI
Friendly Adult Day Care Center, Inc.
- Adult Day Care Clinic/Center
- Columbia Heights, MN
National Provider Identifier
1669283693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- FRIENDLY ADULT DAY CARE CENTER, INC.
- Practice address
- 820 40TH Ave NE Ste 1
Columbia Heights, MN 55421-2903 - Phone
- (763) 957-0321
- Fax
- (763) 710-4174
- NPI assigned
- Jan 17, 2025
- Last updated
- Jan 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdu Hassan
- Title
- President
- Phone
- (763) 957-0321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
820 40TH Ave NE Ste 1
Columbia Heights, MN 55421-2903
Mailing address
820 40TH Ave NE Ste 1
Columbia Heights, MN 55421-2903
Phone (763) 957-0321
National Provider Directory
National Provider DirectoryLocations
820 40th Ave NE
Ste 1
Columbia Heights, MN 55421
Phone (763) 957-0321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1669283693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 40TH AVE NE STE 1",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212903",
"telephone_number": "763-957-0321",
"fax_number": "763-710-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 40TH AVE NE STE 1",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212903",
"telephone_number": "763-957-0321",
"fax_number": "763-710-4174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY ADULT DAY CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "ABDU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-957-0321"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.