Hennepin Adult Day Care Services Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

APPLYING Issued in MN

Legal business name

HENNEPIN ADULT DAY CARE SERVICES CORP

Practice address

700 10TH Ave S
Minneapolis, MN 55415-1745

Phone

(651) 646-8961

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Zachary James Olson, M.S.W.

Title

Chief Executive Officer

Phone

(651) 646-8961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1992930911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046544",
            "telephone_number": "651-646-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 10TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151745",
            "telephone_number": "651-646-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN ADULT DAY CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "651-646-8961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "APPLYING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Henn, ATC
• Kris Mallon Hennelly, MSW, LICSW
• Alex Hennen, PHARM.D, BCGP
• Emma Margaret Jindra Hennen, PHARMD
• Stella N.Y.a. Hennen, MD, MSPH
• Hennepin Autism Center Inc
• Hennepin Autism Center Inc
• Hennepin Care LLC
• Hennepin County
• Hennepin County (Behavioral Health Center)

• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• 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 19, 2009; 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.