Active NPI
Serene Adult Day Center, Inc
- Adult Day Care Clinic/Center
- Minneapolis, MN
National Provider Identifier
1881161982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- SERENE ADULT DAY CENTER, INC
- Practice address
- 3108 Emerson Ave N
Minneapolis, MN 55411-1366 - Phone
- (612) 558-4384
- NPI assigned
- Oct 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdulkadir Jama
- Title
- Owner
- Phone
- (612) 558-4384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3108 Emerson Ave N
Minneapolis, MN 55411-1366
Mailing address
2025 3Rd Ave N
Minneapolis, MN 55405-1205
Phone (612) 200-9280
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540512000000",
"number": "1881161982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 3RD AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051205",
"telephone_number": "612-200-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 EMERSON AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554111366",
"telephone_number": "612-558-4384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENE ADULT DAY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A",
"authorized_official_last_name": "JAMA",
"authorized_official_first_name": "ABDULKADIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-558-4384"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"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 Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.