ACTIVE DAY MN INC. NPI 1811490220

NPI Information

NPI: 1811490220
Provider Name: ACTIVE DAY MN, INC.

Doing Business As: ACTIVE DAY OF MINNETONKA

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
10937 BREN RD E
MINNETONKA, MN
ZIP 55343
Phone: (215) 642-6600
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ACTIVE DAY MN, INC. is an adult day care clinic center in Minnetonka, MN. ACTIVE DAY MN, INC. NPI is 1811490220. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Minnetonka.

The provider's business location address is:

10937 BREN RD E
MINNETONKA, MN
ZIP 55343-613
Phone: (215) 642-6600

The provider's authorized official is Craig O Mehnert .
The authorized official title is Coo and has the following contact phone number (215) 642-6600.

The CLIA number assigned to this NPI record is 24D2167038 - other - adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 3/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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