Wicare Homecare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

343327 Issued in MN

Legal business name

WICARE HOMECARE SERVICES

Practice address

1885 University Ave W Suit#300B
St Paul, MN 55104

Phone

(651) 738-4890

Fax

(651) 846-6530

NPI assigned

Aug 3, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy Mbabazi Michori

Title

President

Phone

(651) 738-4890

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1235360637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W STE 300B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043462",
            "telephone_number": "651-738-4890",
            "fax_number": "651-846-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W SUIT#300B",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-738-4890",
            "fax_number": "651-846-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICARE HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MICHORI",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MBABAZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-738-4890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "343327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STRAIGHT MEDICARE(MA)",
            "identifier": "A760018300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STRAIGHT MEDICARE",
            "identifier": "A156483100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J Wiberg, MD
• Thomas Andrew Wiberg, M.D.
• Dena Diane Wiblishauser
• Beverly S Wical, MD
• Kurt Austin Wical, PH.D.
• Mark Allen Wick, LPCC
• Noah Wick, MD
• John Christopher Wickland, CRNA
• Paul T Wicklund, MD
• Sarah K Wicks, PHD LP

• 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 Feb 6, 2017; 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.