Headwinds Solutions MN,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1274888-2 Issued in MN

Legal business name

HEADWINDS SOLUTIONS MN,LLC

Practice address

1011 W Broadway Ave
Ste 202
Minneapolis, MN 55411-2531

Phone

(612) 767-2142

Fax

(612) 294-1661

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel B Jackson Jr.

Title

Coo

Phone

(612) 767-2142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1316212970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W BROADWAY AVE",
            "address_2": "STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112531",
            "telephone_number": "612-767-2142",
            "fax_number": "612-294-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BROADWAY AVE",
            "address_2": "STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112531",
            "telephone_number": "612-767-2142",
            "fax_number": "612-294-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWINDS SOLUTIONS MN,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-767-2142",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "1274888-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.