Organization Active NPI

Evangelia Wold Inc

Doing business as Symphony Senior Home Care

  • In Home Supportive Care Agency
  • White Bear Lake, MN
National Provider Identifier
1386498715
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVANGELIA WOLD INC
Doing business as
Symphony Senior Home Care
Practice address
4525 White Bear Pkwy Ste 128
White Bear Lake, MN 55110-7627
Phone
(651) 330-3841
Fax
(651) 330-3892
NPI assigned
Apr 12, 2024
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Evangelia Maria Wold
Title
President Ceo Owner
Phone
(651) 330-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4525 White Bear Pkwy Ste 128
White Bear Lake, MN 55110-7627

Mailing address

4525 White Bear Pkwy Ste 128
White Bear Lake, MN 55110-7627
Phone (651) 330-3841

Other names 1

  • Symphony Senior Home Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2286562Evangelia Wold Inc Dba Symphony Senior Home Care4525 White Bear Parkway #128, White Bear Lake, MN 55110Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory

Locations

4525 White Bear Pkwy
Ste 128
White Bear Lake, MN 55110
Phone (651) 330-3841

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1386498715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 128",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107627",
            "telephone_number": "651-330-3841",
            "fax_number": "651-330-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 128",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107627",
            "telephone_number": "651-330-3841",
            "fax_number": "651-330-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELIA WOLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "EVANGELIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT CEO OWNER",
        "authorized_official_telephone_number": "651-330-3841"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symphony Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.