Active NPI
Adekunle Adigun, ASSISTED LIVING
- Assisted Living Facility
- Hastings, MN
National Provider Identifier
1821705591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 409681
- Practice address
- 208 14TH St W
Hastings, MN 55033-2709 - Phone
- (651) 319-0140
- Fax
- (651) 319-0140
- NPI assigned
- Nov 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 409681 | MN | Primary |
Addresses
Primary practice location
208 14TH St W
Hastings, MN 55033-2709
Mailing address
208 14TH St W
Hastings, MN 55033-2709
Phone (651) 319-0140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 409681 | MN | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1821705591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 14TH ST W",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332709",
"telephone_number": "651-319-0140",
"fax_number": "651-319-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 14TH ST W",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332709",
"telephone_number": "651-319-0140",
"fax_number": "651-319-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIGUN",
"first_name": "ADEKUNLE",
"name_prefix": "Mr.",
"credential": "ASSISTED LIVING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "409681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.