Aspen Adult Daycare Center LLC
Clinic/Center, Adult Day Care in St Paul, MN. Organization (NPI-2).
NPI number1669996369
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669996369
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Adult Daycare Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | 1085774 | MN | Yes |
Practice location
1821 University Ave WSuite N196
St Paul, MN 55104
Phone 651-308-8842
Mailing address
1821 University Ave W Ste N196Saint Paul, MN 55104-2870
Phone 651-308-8842
Authorized official
Hodan Abdi Hashi
Owner
6513088842
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