Avalon Adult Daycare Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AVALON ADULT DAYCARE INC

Practice address

3405 Chicago Ave
Minneapolis, MN 55407-4409

Phone

(612) 800-3476

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Bulbulo Abdullahi Mohamed

Title

Ceo

Phone

(612) 800-3476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1871333765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074409",
            "telephone_number": "612-800-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074409",
            "telephone_number": "612-800-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON ADULT DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "BULBULO",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-800-3476"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism Care Center LLC
• Autism Center for Education LLC
• Autism Center for Education LLC
• Autism Center of Minnesota LLC
• Avalon - Prospect Park
• Avalon Programs, LLC
• Michelle Lynn Avalon, LADC
• Avante Enterprises, LLC.
• Carmen Gloria Avendano, MD
• Pablo Avendano

• All providers in Minneapolis, MN
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.