NPIMap

Organization Active NPI

Hiawatha Adult Day Center Inc

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1790043925
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1062302 Issued in MN
Legal business name
HIAWATHA ADULT DAY CENTER INC
Practice address
3401 Hiawatha Avenue
Minneapolis, MN 55406
Phone
(612) 722-1000
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. Abdikafar Aden
Title
Director
Phone
(612) 722-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1062302 MN Primary

Addresses

Primary practice location

3401 Hiawatha Avenue
Minneapolis, MN 55406

Mailing address

3401 Hiawatha Ave. South
Minneapolis, MN 55406
Phone (612) 722-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1790043925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 HIAWATHA AVE. SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-722-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HIAWATHA AVENUE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-722-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA ADULT DAY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "ABDIKAFAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-722-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1062302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.