Solace Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOLACE ASSISTED LIVING

Practice address

6718 Quail Ave N
Brooklyn Center, MN 55429-1656

Phone

(612) 814-8012

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Ubah A Yusuf

Title

Manager

Phone

(612) 229-1637

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689374803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 QUAIL AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291656",
            "telephone_number": "612-814-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 QUAIL AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291656",
            "telephone_number": "612-814-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "UBAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-229-1637"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daya Srinivasan, D.D.S

• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.