WELLNESS GROUP HOME NPI 1841696531

NPI Information

NPI: 1841696531
Provider Name: WELLNESS GROUP HOME
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2109 NICOLLET AVE STE 101
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 298-9447
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WELLNESS GROUP HOME is a substance abuse rehabilitation facility in Minneapolis, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WELLNESS GROUP HOME NPI is 1841696531. The provider is registered as an organization entity type.

The provider's business location address is:

2109 NICOLLET AVE STE 101
MINNEAPOLIS, MN
ZIP 55404-279
Phone: (612) 298-9447

The provider's authorized official is Abdirizak Ali .
The authorized official title is Owner and has the following contact phone number (612) 298-9447.

The enumeration date for this NPI number is 11/7/2014 and was last updated on 11/7/2014.

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	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	311500000X	Alzheimer Center (Dementia Center)		No
4	311ZA0620X	Custodial Care Facility	Adult Care Home	No
5	320700000X	Residential Treatment Facility, Physical Disabilities		No
6	332B00000X	Durable Medical Equipment & Medical Supplies		No
7	324500000X	Substance Abuse Rehabilitation Facility		Yes

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: 4/28/2024

NPI Synchronization or Removal

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