Statis Wellness L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATIS WELLNESS L.L.C.

Practice address

1615 Edgemont St
Saint Paul, MN 55130-4632

Phone

(207) 518-3425

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Abdi Hassan

Title

Owner

Phone

(207) 518-3425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1114748290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 EDGEMONT ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304632",
            "telephone_number": "207-518-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 EDGEMONT ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304632",
            "telephone_number": "207-518-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATIS WELLNESS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-518-3425"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Start, MSW, LICSW, LADC
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• Barbara Staub, M.D.
• Benjamin Joseph Staum
• Cynthia Ann Stavish, MSN, AHCNS, APRN
• Brian Stawarz, M.A, LP, LMFT
• Stay Sheltered LLC

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.