Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Enterprise, Inc

Organization Assisted Living Facility · NPI 1508947169

Prime Enterprise, Inc is an Assisted Living Facility in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 Janesville St NE
Fridley, MN 55432-1638
Phone: (952) 451-4941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 333542 (MN)

Record details

NPI number1508947169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osetohame Agene — President/Owner · (952) 451-4941
Other names Prime Enterprise, Inc.
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address505 Janesville St Ne, Fridley, MN 55432-1638

Other providers in Fridley