Alberta Winnifred Desouza Addo

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

6220 W 132ND St
Savage, MN 55378-2484

Phone

(952) 215-9206

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alberta Winifred Desouza

  dba Earthen Vessel Solutions

  • Mental Illness Community Based Residential Treatment Facility
  • Savage, MN
  • NPI 1396467395
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1902314164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 W 132ND ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782484",
            "telephone_number": "952-215-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 W 132ND ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782484",
            "telephone_number": "952-215-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA ADDO",
        "first_name": "ALBERTA",
        "middle_name": "WINNIFRED",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS-245D",
            "identifier": "1088299-1-HCBS",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barton Grant Davis, DDS
• Judy Ann Deboer, FNP-BC
• Dental Delivery Systems, PA (Dental Associates of Savage)
• Dentists of Savage, PC (Dentists of Savage)
• Designing Dreams by Loramy Inc
• Diamond Care Limited Liability Company
• Laura Jean Dickason-Sopeth, OTR
• Emily Rae Dickinsen, DT
• Salma A Diini
• Michelle Dineen, LICSW

• Foster Care Agency in Savage, MN
• Providers in Savage, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.