KAYO HEALTH CARE CENTER LLC NPI 1487475794

NPI Information

  • NPI: 1487475794
  • Provider Name: KAYO HEALTH CARE CENTER LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2311255
  • Address: 5941 6TH ST NE
    FRIDLEY, MN
    ZIP 55432
  • Phone: (612) 309-8940

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NPI Details

KAYO HEALTH CARE CENTER LLC is an assisted living facility in Fridley, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KAYO HEALTH CARE CENTER LLC NPI is 1487475794. The provider is registered as an organization entity type.

The provider's business location address is:

5941 6TH ST NE
FRIDLEY, MN
ZIP 55432-530
Phone: (612) 309-8940

The provider's authorized official is Zeritu Woyesa Mutal .
The authorized official title is Authorized Agent and has the following contact phone number (612) 309-8940.

The CLIA number assigned to this NPI record is 24D2311255 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2024 and was last updated on 10/19/2024.

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
1310400000XAssisted Living FacilityYes

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: 3/30/2025

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