NPIMap

Organization Active NPI

Wenden Olmsted County Correction Recovery Service

  • Community/Behavioral Health Agency
  • Rochester, MN
National Provider Identifier
1558635128
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1061701-1CDT Issued in MN
Legal business name
WENDEN OLMSTED COUNTY CORRECTION RECOVERY SERVICE
Practice address
140 4TH St SE
Rochester, MN 55904-3752
Phone
(651) 385-0600
Fax
(651) 388-2129
NPI assigned
Feb 29, 2012
Organization subpart
Yes
Parent organization
WENDEN RECOVERY SERVICE. INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Mr. Adam Garcia, LADC
Title
Owner
Phone
(651) 385-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1061701-1CDT MN Primary

Addresses

Primary practice location

140 4TH St SE
Rochester, MN 55904-3752

Mailing address

217 Plum St
#220
Red Wing, MN 55066-2351
Phone (651) 385-0600

Other identifiers 1

IdentifierTypeStateIssuer
106170-1-CDTOtherMNDHS LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Wenden Recovery Services Inc6 organizations share this tax ID, including this one
Part of
Wenden Recovery Services Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 4th St SE
Rochester, MN 55904
Phone (651) 385-0600

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1558635128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PLUM ST",
            "address_2": "#220",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662351",
            "telephone_number": "651-385-0600",
            "fax_number": "651-388-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559043752",
            "telephone_number": "651-385-0600",
            "fax_number": "651-388-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDEN OLMSTED COUNTY CORRECTION RECOVERY SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENDEN RECOVERY SERVICE. INC",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-385-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1061701-1CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE NUMBER",
            "identifier": "106170-1-CDT",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.