NPIMap

Organization Active NPI

Ebenezer Ridges Adult Day Center

  • Adult Day Care Clinic/Center
  • Burnsville, MN
National Provider Identifier
1699819276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
800712-2-ADC Issued in MN
Legal business name
EBENEZER RIDGES ADULT DAY CENTER
Practice address
13810 Community Dr
Burnsville, MN 55337-4593
Phone
(952) 898-3085
Fax
(952) 898-8450
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Erin Hilligan
Title
Administrator
Phone
(952) 898-8410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 800712-2-ADC MN Primary

Addresses

Primary practice location

13810 Community Dr
Burnsville, MN 55337-4593

Mailing address

13810 Community Dr
Burnsville, MN 55337-4593
Phone (952) 898-3085

Other identifiers 1

IdentifierTypeStateIssuer
800712OtherMNADULT DAY CENTER

National Provider Directory

National Provider Directory
Tax ID family
Ebenezer Ridges2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699819276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 COMMUNITY DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374593",
            "telephone_number": "952-898-3085",
            "fax_number": "952-898-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 COMMUNITY DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374593",
            "telephone_number": "952-898-3085",
            "fax_number": "952-898-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER RIDGES ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLIGAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-898-8410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "800712-2-ADC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CENTER",
            "identifier": "800712",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.