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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2286562 | Evangelia Wold Inc Dba Symphony Senior Home Care | Certificate of waiver | Jul 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Nora Marie Erdrich
- Grant Erickson, D.C.
- Robin Erickson, PA-C
- Erickson/Aamodt Orthodontics, P.a.
- Theodore Kent Ernste, DDS
- Evolvewell Occupational Therapy LLC
- Fairview Clinics
- Family Healthservices Minnesota, P.a (Entira Family Clinics - White Bear Lake-Bellaire)
- Family Healthservices Minnesota, P.a
- Jamie Lynn Farley
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.