BOUTWELLS LANDING ADULT DAY PROGRAM – NPI #1629361092
Clinic/Center
BOUTWELLS LANDING ADULT DAY PROGRAM is an AHC clinic located in OAK PARK HEIGHTS, MN. NPPES has assigned the NPI number 1629361092 to BOUTWELLS LANDING ADULT DAY PROGRAM on May 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOUTWELLS LANDING ADULT DAY PROGRAM” is a dba name, the actual legal business name for this organization is VALLEY SENIOR SERVICES ALLIANCE. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care
The NPI profile was previously updated about 13 years ago on Feb 18, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOUTWELLS LANDING ADULT DAY PROGRAM below.
NPI Profile for
VALLEY SENIOR SERVICES ALLIANCE
(more than 15 years ago)
OAK PARK HEIGHTS, MN 55082 Phone: (851) 275-5801 Fax: (651) 275-5802
ROSEVILLE, MN 55113 Phone: (651) 631-6187 Fax: (651) 631-6122
EXECUTIVE DIRECTOR OF CREATIVE INDE
Phone: (651) 631-6123
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA0600X - Clinic/Center / Adult Day Care (Primary) |
MN | 1064266-1-ADC |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.