Organization Active NPI

Comfort Adult Daycare LLC

  • Adult Day Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1811523517
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
COMFORT ADULT DAYCARE LLC
Practice address
1201 37TH Ave N
Minneapolis, MN 55412-2005
Phone
(651) 468-4729
Fax
(612) 224-9973
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Mr. Debesay Girmalul Sr.
Title
Owner
Phone
(651) 468-4729

Specialties & licenses 1

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

Addresses

Primary practice location

1201 37TH Ave N
Minneapolis, MN 55412-2005

Mailing address

1201 37TH Ave N
Minneapolis, MN 55412-2005
Phone (651) 468-4729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1811523517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 37TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122005",
            "telephone_number": "651-468-4729",
            "fax_number": "612-224-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 37TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122005",
            "telephone_number": "651-468-4729",
            "fax_number": "612-224-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "GIRMALUL",
        "authorized_official_first_name": "DEBESAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-468-4729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "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 Mar 13, 2020; 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.