Organization Active NPI

United Cambodian Association of Minnesota, Inc.

  • Adult Day Care Clinic/Center
  • Mendota Heights, MN
National Provider Identifier
1750793832
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
UNITED CAMBODIAN ASSOCIATION OF MINNESOTA, INC.
Practice address
1385 Mendota Heights Rd Ste 500
Mendota Heights, MN 55120-1364
Phone
(651) 222-3299
Fax
(651) 222-3599
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Yorn Yan
Title
Executive Director
Phone
(651) 222-3299

Specialties & licenses 1

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

Addresses

Primary practice location

1385 Mendota Heights Rd Ste 500
Mendota Heights, MN 55120-1364

Mailing address

1385 Mendota Heights Rd Ste 500
Mendota Heights, MN 55120-1364
Phone (651) 222-3299

National Provider Directory

National Provider Directory

Locations

1385 Mendota Heights Rd
Ste 500
Mendota Heights, MN 55120
Phone (651) 222-3299

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1750793832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 MENDOTA HEIGHTS RD STE 500",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201364",
            "telephone_number": "651-222-3299",
            "fax_number": "651-222-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 MENDOTA HEIGHTS RD STE 500",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201364",
            "telephone_number": "651-222-3299",
            "fax_number": "651-222-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CAMBODIAN ASSOCIATION OF MINNESOTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "YORN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-222-3299"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.