East African Social Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

10534351 Issued in MN

Legal business name

EAST AFRICAN SOCIAL CENTER

Practice address

1821 University Ave W Ste 196
Saint Paul, MN 55104-2870

Phone

(651) 646-1006

Fax

(651) 328-5537

NPI assigned

Jun 15, 2009

Last updated

Jun 15, 2009By 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

Mr. Abdulaziz Abdulahi Farah

Title

Director

Phone

(651) 646-1006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1669609947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 196",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042870",
            "telephone_number": "651-646-1006",
            "fax_number": "651-328-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 196",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042870",
            "telephone_number": "651-646-1006",
            "fax_number": "651-328-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AFRICAN SOCIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ABDULAZIZ",
        "authorized_official_middle_name": "ABDULAHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-646-1006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "10534351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "A006617300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Early Insights
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• Ariel Esther Eason, PA-C
• East Metro Family Practice PA (East Metro)
• East Metro Family Practice, P.a. (East Metro - North St. Paul)
• East Metro Family Practice, P.a. (East Metro - Maryland)
• East Metro Family Practice, P.a. (East Metro - Highland Family)
• East Metro Medical Supply, Inc

• Adult Day Care Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, 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 Jun 15, 2009; 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.