Ebyan Adult Day Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1049972-4-ADC Issued in MN

Legal business name

EBYAN ADULT DAY CENTER LLC

Practice address

1810 Riverside Ave # LL
Minneapolis, MN 55454-1031

Phone

(612) 313-0733

Fax

(612) 313-8144

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Adam Isse Ali I

Title

Owner/Presedent

Phone

(612) 313-0733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1801164108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 RIVERSIDE AVE # LL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541031",
            "telephone_number": "612-313-0733",
            "fax_number": "612-313-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 RIVERSIDE AVE # LL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541031",
            "telephone_number": "612-313-0733",
            "fax_number": "612-313-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBYAN ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ISSE",
        "authorized_official_title_or_position": "OWNER/PRESEDENT",
        "authorized_official_telephone_number": "612-313-0733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1049972-4-ADC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Ebner, LN
• Nancy A Ebner, RPH
• Mary Beth Ebohon
• Aihomon Ebojie
• Ali Ebrahimi, MD
• Ecc Addiction & Toxicology Services LLC
• Caitlin Eccles-Radtke, MD
• Echo Health Solutions
• Echo Integrated Health LLC
• Thomas Edward Echoles, LADC

• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.