Wellness Diabetes Care LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

348301 Issued in MN

Legal business name

WELLNESS DIABETES CARE LLC

Practice address

11005 Tyler St NE
Blaine, MN 55434-4535

Phone

(612) 242-4521

NPI assigned

Nov 29, 2010

Organization subpart

Yes

Parent organization

WELLNESS RX HOMECAREAs reported in NPPES

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

Authorized official

Name

Liban Muse

Title

Owner

Phone

(612) 242-4521

Specialties & licenses 1

Addresses

Tax ID family

Wellnessrx Homecare2 organizations share this tax ID, including this one

Part of

Wellnessrx Homecare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellnessrx Homecare

  • In Home Supportive Care Agency
  • New Brighton, MN
  • NPI 1568788321
  NPD tax ID

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1952603862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 TYLER ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344535",
            "telephone_number": "612-242-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 TYLER ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344535",
            "telephone_number": "612-242-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DIABETES CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS RX HOMECARE",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-242-4521"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "348301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watershed Psychological Services
• Jennifer Caroline Weier, CCC-SLP
• Mark Steven Weigand, PT
• Chelsey Marie Joy Weintraub
• Caroline Nicole Weiss, PSY.D, LP
• Wellness Health Clinic LLC
• Sara Werner, MA, LP, RPT-S, SEP
• Melissa Wetterlund, MA, LP, LMFT
• Emmanuel Wheagar II, PHARMD
• Amy Moran Wheelecor, PSYD, LP

• Durable Medical Equipment & Medical Supplies in Blaine, MN
• Providers in Blaine, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.