Organization Active NPI

Seasons of Life, LLC

  • Adult Day Care Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1770279028
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SEASONS OF LIFE, LLC
Practice address
510 Brunson St Ste 140
Saint Paul, MN 55130-4575
Phone
(651) 478-7453
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Monica Vu
Title
Program Director
Phone
(651) 478-7453

Specialties & licenses 1

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

Addresses

Primary practice location

510 Brunson St Ste 140
Saint Paul, MN 55130-4575

Mailing address

510 Brunson St Ste 140
Saint Paul, MN 55130-4575

National Provider Directory

National Provider Directory

Locations

510 Brunson St
Ste 140
Saint Paul, MN 55130
Phone (651) 478-7453

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1770279028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BRUNSON ST STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BRUNSON ST STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304575",
            "telephone_number": "651-478-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "651-478-7453"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "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 Apr 11, 2023; 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.