Healthcare Provider Details

I. General information

NPI: 1235645763
Provider Name (Legal Business Name): CARINGHANDS ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2017
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 AMERICAN BLVD E STE 1
BLOOMINGTON MN
55425-1152
US

IV. Provider business mailing address

1325 AMERICAN BLVD E STE 1
BLOOMINGTON MN
55425-1152
US

V. Phone/Fax

Practice location:
  • Phone: 952-681-2195
  • Fax:
Mailing address:
  • Phone: 952-681-2195
  • Fax: 952-407-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number1090379-1-
License Number StateMN

VIII. Authorized Official

Name: RAGE BASHIR YUSUF
Title or Position: OWNER/PROGRAM DIRECTOR
Credential:
Phone: 952-681-2195