Organization Active NPI

University Adult Day Care Center Inc

  • Adult Day Care Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1710263710
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1090465 Issued in MN
Legal business name
UNIVERSITY ADULT DAY CARE CENTER INC
Practice address
2434 University Ave W
Saint Paul, MN 55114
Phone
(651) 200-4159
Fax
(651) 493-2570
NPI assigned
Oct 23, 2011
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Yusuf Bashir Ali
Title
Executive Director
Phone
(651) 200-4159

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1060964-1-ADC MN
Adult Day Care Clinic/Center 261QA0600X 1090465 MN Primary

Addresses

Primary practice location

2434 University Ave W
Saint Paul, MN 55114

Mailing address

2434 University Ave W
Saint Paul, MN 55114-1790
Phone (651) 200-4159

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1710263710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141790",
            "telephone_number": "651-200-4159",
            "fax_number": "651-493-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-200-4159",
            "fax_number": "651-493-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ADULT DAY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-200-4159"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1060964-1-ADC",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1090465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.