Organization Active NPI

Wellness Adult Day Services, Inc

  • Health Educator
  • Saint Paul, MN
National Provider Identifier
1700156304
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
1059415 Issued in MN
Legal business name
WELLNESS ADULT DAY SERVICES, INC
Practice address
689 Dale St N
Saint Paul, MN 55103-1644
Phone
(612) 384-6481
Fax
(800) 346-9572
NPI assigned
Jan 12, 2012
Organization subpart
Yes
Parent organization
WELLNESS ADULT DAY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
VA Wendy Xiong
Title
Manager
Phone
(612) 384-6481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 1059415 MN Primary

Addresses

Primary practice location

689 Dale St N
Saint Paul, MN 55103-1644

Mailing address

689 Dale St N
Saint Paul, MN 55103-1644
Phone (612) 384-6481

Other names 1

  • WELLNESS ADULT DAY SERVICES, INC Doing business as

National Provider Directory

National Provider Directory
Part of
Wellness Adult Day Services Inc

Locations

689 Dale St N
Saint Paul, MN 55103
Phone (651) 261-1193

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1700156304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031644",
            "telephone_number": "612-384-6481",
            "fax_number": "800-346-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031644",
            "telephone_number": "612-384-6481",
            "fax_number": "800-346-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ADULT DAY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS ADULT DAY SERVICES, INC",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "VA",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-384-6481"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "MN",
            "license": "1059415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS ADULT DAY SERVICES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.