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NORTH RIDGE ADULT DAY CARE LLC NPI 1326696832


NPI Information

NPI: 1326696832
Provider Name: NORTH RIDGE ADULT DAY CARE LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 24D0402687

Address:
5430 BOONE AVE N
NEW HOPE, MN
ZIP 55428
Phone: (763) 592-3000
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NORTH RIDGE ADULT DAY CARE LLC is an adult day care clinic center in New Hope, MN. NORTH RIDGE ADULT DAY CARE LLC NPI is 1326696832. The provider is registered as an organization entity type.

The provider's business location address is:

5430 BOONE AVE N
NEW HOPE, MN
ZIP 55428-615
Phone: (763) 592-3000
Fax: (763) 592-2999

The provider's authorized official is Michelle M Delker .
The authorized official title is Cfo and has the following contact phone number (813) 321-1239.

The CLIA number assigned to this NPI record is 24D0402687 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 8/28/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

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: 11/14/2023

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