Organization Active NPI

Minnesota Adult Day Center, LLC

  • Adult Day Care Clinic/Center
  • Rochester, MN
National Provider Identifier
1922587039
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MINNESOTA ADULT DAY CENTER, LLC
Practice address
330 Elton Hills Dr NW
Rochester, MN 55901-2476
Phone
(507) 721-3179
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Ploena HoangNPI 1376993816
Title
Ceo
Phone
(507) 721-3179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

330 Elton Hills Dr NW
Rochester, MN 55901-2476

Mailing address

330 Elton Hills Dr NW
Rochester, MN 55901-2476

Other identifiers 1

IdentifierTypeStateIssuer
A749425000MedicaidMN

National Provider Directory

National Provider Directory

Locations

330 Elton Hills Dr NW
Rochester, MN 55901
Phone (507) 721-3179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1922587039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ELTON HILLS DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ELTON HILLS DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012476",
            "telephone_number": "507-721-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "PLOENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-721-3179"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A749425000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.