OrganizationActive
Prime Enterprise, Inc.
NPI 1508947169 · Assisted Living Facility · Fridley, MN
Provider details
- NPI number
- 1508947169
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Osetohame Agene, President/Owner(952) 451-4941
- License
- 333542 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Janesville St Ne
Fridley, MN 55432-1638
Phone: (952) 451-4941
Street-level locationGet directions
Mailing address
505 Janesville St Ne
Fridley, MN 55432-1638
Other names (DBA / former)
- Doing business as
- Prime Enterprise, Inc.
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.