Aquad Wellness Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AQUAD WELLNESS GROUP LLC

Practice address

6482 Barclay Ave
Inver Grove Heights, MN 55077-2165

Phone

(612) 669-3904

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Abdiweli Mohamed Elmi

Title

Owner

Phone

(612) 669-3904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1376378059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 173RD ST W APT 228",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445341",
            "telephone_number": "612-669-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6482 BARCLAY AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772165",
            "telephone_number": "612-669-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUAD WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "ABDIWELI",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-669-3904"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.