Wanda Housen

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1034669-3-AFC Issued in MN

Practice address

1112 14TH Ave SE
Saint Cloud, MN 56304-1742

Phone

(320) 229-8758

Fax

(320) 259-7837

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1154551141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 14TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041742",
            "telephone_number": "320-229-8758",
            "fax_number": "320-259-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 14TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041742",
            "telephone_number": "320-229-8758",
            "fax_number": "320-259-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEN",
        "first_name": "WANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1034669-3-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Host
• John M Houle, MD
• Thomas Houle, OTR/L
• House of Joel
• House of Sanctuary LLC
• Courtney Kristine Hove, PA-C
• James Hover, M.D.
• Voni Lynn Hovland, MSW
• Charity Lynn Hovre, MS, CRC, CVE
• Ramanisha E Howard-Fogg

• Adult Care Home Facility in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.