Organization Active NPI

Sunfish Senior Center Inc

  • Adult Day Care Clinic/Center
  • Maplewood, MN
National Provider Identifier
1700681327
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SUNFISH SENIOR CENTER INC
Practice address
2035 County Road D E Ste 100
Maplewood, MN 55109-5301
Phone
(651) 387-1158
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Kulcharee Lor
Title
President
Phone
(651) 387-1158

Specialties & licenses 1

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

Addresses

Primary practice location

2035 County Road D E Ste 100
Maplewood, MN 55109-5301

Mailing address

2035 County Road D E Ste 100
Maplewood, MN 55109-5301

National Provider Directory

National Provider Directory

Locations

2035 County Road D E
Ste 100
Maplewood, MN 55109
Phone (651) 387-1158

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1700681327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 COUNTY ROAD D E STE 100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 COUNTY ROAD D E STE 100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095301",
            "telephone_number": "651-387-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFISH SENIOR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "LOR",
        "authorized_official_first_name": "KULCHAREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-387-1158"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

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