Hadc Wadena, LLC
Organization Active NPI Assisted Living Facility · Wadena, MN
NPI 1033633904 · NPPES record last updated Aug 1, 2017
Key facts
- NPI
- 1033633904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 382221 (MN)
- Legal business name
- HADC WADENA, LLC
- Practice address
- 110 Hemlock Ave. NW
Wadena, MN 56482 - Phone
- (218) 639-5290
- NPI assigned
- Aug 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Paul Abzug
- Title
- President/Chief Manager
- Phone
- (952) 473-1103
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2136129 | Meadows of Wadena Senior Living, the | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
Locations
18336 Minnetonka Blvd
#C
Wayzata, MN 55391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 382221 | MN | Yes |
Addresses
Primary practice location
110 Hemlock Ave. NW
Wadena, MN 56482
Mailing address
18336 Minnetonka Blvd Ste C
Wayzata, MN 55391-3232
Phone (952) 473-1103
Other names
- The Meadows of Wadena Senior Living
Other providers in Wadena, MN
- Rebecca Grieger
- Kassandra Grimes
- Grunst Chiropractic Clinic
- Jeffrey Alan Grunst
- Sheila Marie Grunst
- Hands With Heart Midwifery
- Cathy Ruth Hansen
- Kathryn Hart
- Debra Hartman
- William John Hartman
All providers in Wadena, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.