Organization Active NPI

Aspen Adult Daycare Center LLC

  • Adult Day Care Clinic/Center
  • St Paul, MN
National Provider Identifier
1669996369
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1085774 Issued in MN
Legal business name
ASPEN ADULT DAYCARE CENTER LLC
Practice address
1821 University Ave W
Suite N196
St Paul, MN 55104
Phone
(651) 308-8842
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hodan Abdi Hashi
Title
Owner
Phone
(651) 308-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1085774 MN Primary

Addresses

Primary practice location

1821 University Ave W
Suite N196
St Paul, MN 55104

Mailing address

1821 University Ave W Ste N196
Saint Paul, MN 55104-2870
Phone (651) 308-8842

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste N196
Saint Paul, MN 55104
Phone (651) 308-8842

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669996369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE N196",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042870",
            "telephone_number": "651-308-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W",
            "address_2": "SUITE N196",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-308-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN ADULT DAYCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HASHI",
        "authorized_official_first_name": "HODAN",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-308-8842"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1085774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.