IN HOUSE SENIOR SERVICES LLC NPI 1083962294

NPI Information

  • NPI: 1083962294
  • Provider Name: IN HOUSE SENIOR SERVICES, LLC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • CLIA Number: 24D2197038
  • Address: 6625 LYNDALE AVE S STE 105
    RICHFIELD, MN
    ZIP 55423
  • Phone: (612) 788-8778

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NPI Details

IN HOUSE SENIOR SERVICES, LLC is a primary podiatric medicine podiatrist in Richfield, MN. IN HOUSE SENIOR SERVICES, LLC NPI is 1083962294. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6625 LYNDALE AVE S STE 105
RICHFIELD, MN
ZIP 55423-673
Phone: (612) 788-8778
Fax: (612) 869-3473

The provider's authorized official is Stephanie Lee Weckwerth .
The authorized official title is Rcm Manager and has the following contact phone number (612) 200-8029.

The CLIA number assigned to this NPI record is 24D2197038 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2012 and was last updated on 2/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2231H00000XAudiologistNo
3213EP1101XPodiatristPrimary Podiatric Medicine631MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11083962294MEDICAIDWISCONSIN
21083962294MEDICAIDMINNESOTA
3C09267OTHERMINNESOTAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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