Provider Demographics
NPI:1235645763
Name:CARINGHANDS ADULT DAY CENTER
Entity Type:Organization
Organization Name:CARINGHANDS ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAGE
Authorized Official - Middle Name:BASHIR
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-681-2195
Mailing Address - Street 1:1325 AMERICAN BLVD E STE 1
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1152
Mailing Address - Country:US
Mailing Address - Phone:952-681-2195
Mailing Address - Fax:952-407-9707
Practice Address - Street 1:1325 AMERICAN BLVD E STE 1
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1152
Practice Address - Country:US
Practice Address - Phone:952-681-2195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
MN1090379-1-372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1090379-1OtherADULT DAY CARE
MN1090379-1OtherADULT DAY CARE SERVICES
MN1090379-1OtherADULT DAY CENTER