WABE HOME RESIDENTIAL SERVICES LLC NPI 1932975778

NPI Information

  • NPI: 1932975778
  • Provider Name: WABE HOME RESIDENTIAL SERVICES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 5177 RED OAK DR
    SAINT PAUL, MN
    ZIP 55112
  • Phone: (612) 483-5750

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NPI Details

WABE HOME RESIDENTIAL SERVICES LLC is an assisted living facility in Saint Paul, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WABE HOME RESIDENTIAL SERVICES LLC NPI is 1932975778. The provider is registered as an organization entity type.

The provider's business location address is:

5177 RED OAK DR
SAINT PAUL, MN
ZIP 55112-871
Phone: (612) 483-5750

The provider's authorized official is Mohamed Ibrahim .
The authorized official title is Manager /co-owner and has the following contact phone number (612) 483-5750.

The enumeration date for this NPI number is 12/4/2023 and was last updated on 12/4/2023.

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
1310400000XAssisted Living FacilityYes

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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