Organization Active NPI

Willmar Works, Inc

  • Developmentally Disabled Services Day Training Agency
  • Willmar, MN
National Provider Identifier
1831794189
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WILLMAR WORKS, INC
Practice address
903 Highway 71 NE
Willmar, MN 56201-2654
Phone
(320) 231-2738
NPI assigned
Dec 3, 2020
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Debra J Shriver
Title
Ceo/Owner
Phone
(320) 231-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

903 Highway 71 NE
Willmar, MN 56201-2654

Mailing address

328 5TH St SW
Willmar, MN 56201-3200
Phone (320) 231-2738

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deb@divinehouse.org Direct

National Provider Directory

National Provider Directory

Locations

601 Industrial Dr SW
Willmar, MN 56201

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1831794189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 5TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013200",
            "telephone_number": "320-231-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HIGHWAY 71 NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012654",
            "telephone_number": "320-231-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMAR WORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "SHRIVER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "320-231-2738"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deb@divinehouse.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "903 Highway 71 NE",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562012654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.