OrganizationActive
Living With Dignity Center
NPI 1619107232 · Community/Behavioral Health Agency · Coon Rapids, MN
Provider details
- NPI number
- 1619107232
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alicia Fahr, Executive Director(763) 205-3080
- License
- LPC00616 (MN)
Specialties & taxonomies
Agencies
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
11260 Quinn St Nw
Coon Rapids, MN 55433-3631
Phone: (612) 747-0414
Fax: (763) 205-3080
Street-level locationGet directions
Mailing address
11260 Quinn St Nw
Coon Rapids, MN 55433-3631
Other names (DBA / former)
- Doing business as
- Adult Day Service
Registry dates
- Enumerated
- 2009-07-16
- Last updated
- 2009-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.