Hadc Wadena, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

382221 Issued in MN

Legal business name

HADC WADENA, LLC

Doing business as

The Meadows of Wadena Senior Living

Practice address

110 Hemlock Ave. NW
Wadena, MN 56482

Phone

(218) 639-5290

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Abzug

Title

President/Chief Manager

Phone

(952) 473-1103

Specialties & licenses 1

Addresses

Other names 1

• The Meadows of Wadena Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1033633904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 MINNETONKA BLVD STE C",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553913232",
            "telephone_number": "952-473-1103",
            "fax_number": "952-473-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HEMLOCK AVE. NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "56482",
            "telephone_number": "218-639-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADC WADENA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "ABZUG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF MANAGER",
        "authorized_official_telephone_number": "952-473-1103"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "382221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows of Wadena Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Wadena, MN
• Providers in Wadena, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.