Wild Flower Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

332696 Issued in MN

Legal business name

WILD FLOWER HEALTH CARE SERVICES, INC.

Practice address

5200 Annapolis LN N
Plymouth, MN 55446-3550

Phone

(763) 227-3527

Fax

(763) 537-6817

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Gloria Savage

Title

Owner

Phone

(763) 551-4786

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477612802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD",
            "address_2": "SUITE # 208",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292700",
            "telephone_number": "763-551-4786",
            "fax_number": "763-537-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 ANNAPOLIS LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463550",
            "telephone_number": "763-227-3527",
            "fax_number": "763-537-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD FLOWER HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-551-4786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "332696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Wade Whitney, D.O.
• Nathan Michael Wick, DO
• Thane David Widmer, DPT
• Krista Jean Wieneke
• Jennifer Lynn Wiita, CRNA
• Mark Steven Wilke, M.D.
• Courtney Elizabeth Wilkins, RN
• Bridget Pauline Williams, PHARMD
• Gary L Williams, D.D.S.
• Keairra Latrece Williams

• Home Health Agency in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.