Organization Active NPI

Friendly Adult Day Care Center, Inc.

  • Adult Day Care Clinic/Center
  • Columbia Heights, MN
National Provider Identifier
1669283693
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.