Wildrose Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NA Issued in MN

Legal business name

WILDROSE HOME HEALTH SERVICES, INC.

Practice address

1021 N Riverfront Dr
Mankato, MN 56001-3341

Phone

(507) 625-8938

Fax

(507) 625-9038

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Paul Hagen

Title

Ceo

Phone

(507) 625-8938

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1780877373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18396 568TH AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016649",
            "telephone_number": "507-625-8938",
            "fax_number": "507-625-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013341",
            "telephone_number": "507-625-8938",
            "fax_number": "507-625-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROSE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-625-8938"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "NA",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003610200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kjirstyn Lee Wicklund, MA, LPC
• Taryn Wicks, LICSW
• Carlin Lee Wiemers, DDS, MS
• Tania Rae Wieseler, PHARMD
• Madison Ann Wilde
• Amanda Jean Wilkening, MOTR/L
• Kara Ilene Will, BS, LADC-S
• Sophie Willems, OTR/L
• Logan Willhite
• Brian P Williams, MD

• Home Health Agency in Mankato, MN
• Providers in Mankato, 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 Oct 8, 2010; 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.