EMERALD WINGS HOSPICE LLC NPI 1194597005

NPI Information

  • NPI: 1194597005
  • Provider Name: EMERALD WINGS HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 24D2303268
  • Address: 889 GRAND AVE # 201
    SAINT PAUL, MN
    ZIP 55105
  • Phone: (320) 232-9325

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NPI Details

EMERALD WINGS HOSPICE LLC is a hospice care community based in Saint Paul, MN. EMERALD WINGS HOSPICE LLC NPI is 1194597005. The provider is registered as an organization entity type.

The provider's business location address is:

889 GRAND AVE # 201
SAINT PAUL, MN
ZIP 55105-008
Phone: (320) 232-9325

The provider's authorized official is Shelly Sowada .
The authorized official title is Owner/president and has the following contact phone number (320) 232-9325.

The CLIA number assigned to this NPI record is 24D2303268 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.

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
1251G00000XHospice Care, Community BasedYes

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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