Organization Active NPI

Serene Adult Day Center, Inc

  • Adult Day Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1881161982
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Oct 26, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.