MOUNT OLIVET DAY SERVICES NPI 1457350720

NPI Information

NPI: 1457350720
Provider Name: MOUNT OLIVET DAY SERVICES
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 24D0663456

Address:
5601 LYNDALE AVE S
MINNEAPOLIS, MN
ZIP 55419
Phone: (612) 827-5677
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MOUNT OLIVET DAY SERVICES is an adult day care clinic center in Minneapolis, MN. MOUNT OLIVET DAY SERVICES NPI is 1457350720. The provider is registered as an organization entity type.

The provider's business location address is:

5601 LYNDALE AVE S
MINNEAPOLIS, MN
ZIP 55419-721
Phone: (612) 827-5677
Fax: (612) 821-3241

The provider's authorized official is Richard A Anderson .
The authorized official title is Controller and has the following contact phone number (612) 821-3185.

The CLIA number assigned to this NPI record is 24D0663456 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 8/22/2020.

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	809494	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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