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PRIME ENTERPRISE, INC.
NPI 1508947169
Assisted Living Facility in Fridley, MN

Active since October 18, 2006
505 JANESVILLE ST NE, FRIDLEY, MN 55432(952) 451-4941 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Enterprise, Inc. NPPES

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

PRIME ENTERPRISE, INC. (NPI 1508947169) is a healthcare organization registered as an assisted living facility in Fridley, Minnesota and active in the NPI registry since October 2006. The organization lists Osetohame Agene, President/owner, as its authorized official.

NPPES Registry Identity

NPI1508947169
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRIME ENTERPRISE, INC.
Location Address505 JANESVILLE ST NEFridley, MN 55432-1638
Mailing Address505 Janesville St NeFridley, MN 55432-1638 · (952) 451-4941
Phone(952) 451-4941
Organization SubpartNo
Authorized OfficialOsetohame AgenePresident/owner · (952) 451-4941
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508947169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 333542
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
505 JANESVILLE ST NE, Fridley, MN 55432
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Other Names 1

Doing Business AsPrime Enterprise, Inc.

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 Prime Enterprise, Inc.'s NPI number?

The NPI number for Prime Enterprise, Inc. is 1508947169. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Prime Enterprise, Inc. located?

Prime Enterprise, Inc. is located at 505 Janesville St NE, Fridley, MN 55432. The listed phone number is (952) 451-4941.

What is Prime Enterprise, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Prime Enterprise, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.