NELLY CARE CENTER LLC
NPI 1316753908
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Brooklyn Center, MN

Q: What is Nelly Care Center LLC's NPI number?

The NPI number for Nelly Care Center LLC is 1316753908. It was assigned to this organization in the NPPES registry on December 9, 2024.

Q: What is Nelly Care Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since December 09, 2024

6412 JUNE AVE N, BROOKLYN CENTER, MN 55429(612) 552-1090 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nelly Care Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NELLY CARE CENTER LLC (NPI 1316753908) is a healthcare organization registered as a substance abuse treatment, children in Brooklyn Center, Minnesota and active in the NPI registry since December 2024. The organization lists Stephanie L Jargbah, President, as its authorized official.

NPPES Registry Identity

NPI1316753908

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NameNELLY CARE CENTER LLC

Location Address6412 JUNE AVE NBrooklyn Center, MN 55429-2127

Mailing Address6412 June Ave NBrooklyn Center, MN 55429-2127 · (612) 552-1090

Phone(612) 552-1090

Organization SubpartNo

Authorized OfficialStephanie L JargbahPresident · (612) 242-5770

Enumeration DateDecember 9, 2024

NPPES CertifiedDecember 8, 2024

✔ NPI 1316753908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

6412 JUNE AVE N, Brooklyn Center, MN 55429

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nelly Care Center LLC's NPI number?

The NPI number for Nelly Care Center LLC is 1316753908. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Nelly Care Center LLC located?

Nelly Care Center LLC is located at 6412 June Ave N, Brooklyn Center, MN 55429. The listed phone number is (612) 552-1090.

What is Nelly Care Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Nelly Care Center LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.