Wellness Home Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

WELLNESS HOME INC

Doing business as

Wellness Home Inc

Practice address

7832 Sugarloaf TRL
Brooklyn Park, MN 55444-1935

Phone

(240) 479-9301

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Omoto, CNP

Title

Director

Phone

(240) 479-9301

Specialties & licenses 1

Addresses

Other names 1

• Wellness Home Inc Doing business as

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1801783733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7832 SUGARLOAF TRL",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441935",
            "telephone_number": "240-479-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7832 SUGARLOAF TRL",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441935",
            "telephone_number": "240-479-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "OMOTO",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-479-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Home Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rachel Marie Weiss
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• Emmanuel Randolph Wheagar
• Connie Jo Wheeler, LPCC LADC

• Psychiatric Residential Treatment Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Psychiatric Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.