NPIMap

Organization Active NPI

Wellhaven Senior Hosuing, LLC

  • Assisted Living Facility
  • River Falls, WI
National Provider Identifier
1962708131
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0013453 Issued in WI
Legal business name
WELLHAVEN SENIOR HOSUING, LLC
Practice address
119 Union St
River Falls, WI 54022-1550
Phone
(715) 425-5353
Fax
(715) 425-9911
NPI assigned
Feb 4, 2011
Organization subpart
Yes
Parent organization
THE LUTHERAN HOMW ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Twylah S Wieland, NHA
Title
Administrator
Phone
(715) 425-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0013453 WI Primary

Addresses

Primary practice location

119 Union St
River Falls, WI 54022-1550

Mailing address

119 Union St
River Falls, WI 54022-1550
Phone (715) 425-5353

Other identifiers 1

IdentifierTypeStateIssuer
0013453OtherWIRESIDENTIAL CARE APARTMENT COMPLEX LICENSE

National Provider Directory

National Provider Directory
Part of
The Lutheran Home Cochrane

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1962708131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 UNION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221550",
            "telephone_number": "715-425-5353",
            "fax_number": "715-425-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 UNION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221550",
            "telephone_number": "715-425-5353",
            "fax_number": "715-425-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLHAVEN SENIOR HOSUING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE  LUTHERAN HOMW ASSOCIATION",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "WIELAND",
        "authorized_official_first_name": "TWYLAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-425-5353",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0013453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE APARTMENT COMPLEX LICENSE",
            "identifier": "0013453",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.