MARTIN LUTHER ADULT DAY PROGRAM – NPI #1689867707
Clinic/Center

MARTIN LUTHER ADULT DAY PROGRAM is an AHC clinic located in BLOOMINGTON, MN. NPPES has assigned the NPI number 1689867707 to MARTIN LUTHER ADULT DAY PROGRAM on August 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARTIN LUTHER ADULT DAY PROGRAM” is a dba name, the actual legal business name for this organization is MARTIN LM LLC. 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 17 years ago on Dec 17, 2008. 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 MARTIN LUTHER ADULT DAY PROGRAM below.

NPI Profile for
MARTIN LM LLC

NPI Number
1689867707
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARTIN LM LLC
Doing Business As (dba): MARTIN LUTHER ADULT DAY PROGRAM
Primary location
1401 E 100TH ST
BLOOMINGTON, MN 55425-2615
Phone: (952) 948-5154 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MARTIN LUTHER ADULT DAY PROGRAM is subpart of another organization.
Authorized Official
DENVER KAUFMAN
PRESIDENT
Phone: (612) 371-0053
Updated
Identifiers

Identifiers for MARTIN LUTHER ADULT DAY PROGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN640027100
Taxonomy Code(s)

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

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.