Organization Active NPI

Nedkacare LLC

  • Assisted Living Facility
  • New Hope, MN
National Provider Identifier
1801658679
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NEDKACARE LLC
Practice address
4856 Flag Ave N
New Hope, MN 55428-4441
Phone
(612) 390-3839
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Felisther Kemunto Achochi
Title
Owner
Phone
(612) 390-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4856 Flag Ave N
New Hope, MN 55428-4441

Mailing address

4856 Flag Ave N
New Hope, MN 55428-4441
Phone (612) 390-3839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1801658679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 FLAG AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284441",
            "telephone_number": "612-390-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 FLAG AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284441",
            "telephone_number": "612-390-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDKACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ACHOCHI",
        "authorized_official_first_name": "FELISTHER",
        "authorized_official_middle_name": "KEMUNTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-390-3839"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.