CREDENT CARE LLC NPI 1780254920

NPI Information

  • NPI: 1780254920
  • Provider Name: CREDENT CARE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2719 W DIVISION ST STE 9
    SAINT CLOUD, MN
    ZIP 56301
  • Phone: (612) 987-9775

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NPI Details

CREDENT CARE LLC is a clinic center in Saint Cloud, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CREDENT CARE LLC NPI is 1780254920. The provider is registered as an organization entity type.

The provider's business location address is:

2719 W DIVISION ST STE 9
SAINT CLOUD, MN
ZIP 56301-400
Phone: (612) 987-9775
Fax: (320) 774-1031

The provider's authorized official is Shirwa Adan .
The authorized official title is Owner and has the following contact phone number (612) 987-9775.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 11/12/2025.

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
1253Z00000XIn Home Supportive CareNo
2261QA0600XClinic/CenterAdult Day CareNo
33747P1801XTechnicianPersonal Care AttendantNo
4101YP2500XCounselorProfessionalNo
5251C00000XDay Training, Developmentally Disabled ServicesNo
6332U00000XHome Delivered MealsNo
7311ZA0620XCustodial Care FacilityAdult Care HomeNo
8376J00000XHomemakerNo
9261Q00000XClinic/CenterYes

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: 11/21/2025

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