G & M II Adult Day Care, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

G & M II ADULT DAY CARE, INC.

Practice address

110 2ND St S
Suite # 138
Waite Park, MN 56387-1662

Phone

(612) 367-7549

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Guled Hussein Mohamoud

Title

President

Phone

(612) 367-7549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1730452038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071137",
            "telephone_number": "612-367-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE # 138",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "612-367-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M II ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "MOHAMOUD",
        "authorized_official_first_name": "GULED",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-367-7549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Friederichs
• Rachelle Friesen, M.S., CCC-SLP
• Daniel Lee Fritz
• Paula Fuchs, LPCC
• Seana C Fyle
• Lisa Gapinski, PT
• Jamie Garberich
• Jessica Garcia-Pecina
• Earnest Gardner
• Katrina Gearhart

• Developmentally Disabled Services Day Training Agency in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Developmentally Disabled Services Day Training Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.