Nevaeh Care Group

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1055168 Issued in MN

Legal business name

NEVAEH CARE GROUP

Practice address

2910 Pillsbury Ave S
Suite 245
Minneapolis, MN 55408-2476

Phone

(612) 825-3500

NPI assigned

Feb 11, 2010

Last updated

Feb 11, 2010By 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

Mark Wetsch

Title

Program Director

Phone

(612) 825-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1285966572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 EAST LAKE STREET, SUITE #301",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S",
            "address_2": "SUITE 245",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082476",
            "telephone_number": "612-825-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVAEH CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "WETSCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-825-3500"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1055168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.