MADINA WELLNESS CENTER, INC. (NPI# 1083105209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083105209 |
| Entity Type | Organization |
| Organization Name | MADINA WELLNESS CENTER, INC. |
| Practice Address |
1230 Eagan Industrial Rd Ste 103 Eagan MN 55121-1243 |
| Mailing Address |
12505 26th Ave N Plymouth MN 55441-2805 |
| Practice Telephone | 6127703502 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | HAWO ODAWAAY (OWNER) |
| Authorized Official Telephone | 6127703502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
1230 EAGAN INDUSTRIAL RD STE 103 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1073112975 | Hero Autism Center LLC | Clinic/Center | 3040 4th Ave S Ste 106, Minneapolis, MN 55408-2409 | 2020-10-21 |
| 1538794672 | Star Health Services | Clinic/Center | 2833 13th Ave S Ste 127, Minneapolis, MN 55407-1417 | 2020-03-09 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1447507942 | Little Bird Psc | Clinic/Center | 48858 Us 71, Laporte, MN 56461-4879 | 2012-08-14 |
| 1033347331 | Rosenberg Center Assessment and Treatment for Children & Families Pa | Clinic/Center | 1935 Country Road B2 West, Suite 100, Roseville, MN 55113 | 2009-06-24 |
| 1235397381 | Brenda Jean Hansen | Clinic/Center | 425 6th Avenue West, Floodwood, MN 55736 | 2008-05-27 |
| 1164046926 | Diversity Health Service LLC | Clinic/Center | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-06-07 |
| 1164072906 | Mary Pumper | Clinic/Center | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2019-09-13 |
| 1013572056 | Scitech Academy | Clinic/Center | 100 W 66th St, Richfield, MN 55423-2371 | 2019-05-06 |
| 1881035624 | Sandra Streitman Pllc | Clinic/Center | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2013-07-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.