Organization
CREDENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRWA ADAN (OWNER)
(612) 987-9775
Entity
Organization
Contact information
Practice address
2719 W DIVISION ST STE 9, SAINT CLOUD, MN 56301-3400
(612) 987-9775
(320) 774-1031
Mailing address
2719 W DIVISION ST STE 124, SAINT CLOUD, MN 56301-3860
(320) 774-1061
(320) 774-1031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/29/2021
Last updated
11/12/2025
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