Werner Enterprises Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

327585 Issued in MN

Legal business name

WERNER ENTERPRISES INC.

Practice address

3427 Central Ave NE
Minneapolis, MN 55418-1221

Phone

(612) 788-9757

Fax

(612) 789-6564

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard Clem Werner

Title

Administrator

Phone

(612) 788-9757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bywood East Health Care Doing business as

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881681997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181221",
            "telephone_number": "612-788-9757",
            "fax_number": "612-789-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181221",
            "telephone_number": "612-788-9757",
            "fax_number": "612-789-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERNER ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CLEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-788-9757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "327585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16024200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bywood East Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylie E Wentz
• Sarah Elizabeth Wentz
• Alexsandra Wenzel
• Gerald Leo Werlinger
• John Stuart Wermager, MD
• Corinna Jean Werner, NP-C
• David Wesley Werner, LICSW
• Margaret Werner, CRNA
• Melody Werner, FNP
• Sarah Jean Werner, PA-C

• Nursing Facility/Intermediate Care Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.