AMHERST H. WILDER FOUNDATION (NPI# 1497821409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497821409 |
| Entity Type | Organization |
| Organization Name | AMHERST H. WILDER FOUNDATION |
| Other Organization Name | CHILDRENS RESIDENTIAL AND CHILD CARE SERVICES |
| Practice Address |
919 Lafond Ave Saint Paul MN 55104-2108 |
| Practice Telephone | 6516424000 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CRAIG BINGER (VICE PRESIDENT ADMINISTRATION) |
| Authorized Official Telephone | 6516424000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Childrens Residential and Child Care Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1801954037 | Amherst H. Wilder Foundation | Assisted Living Facility | 1000 Edgerton, Saint Paul, MN 55101 | 2006-12-04 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1932267192 | Amherst H. Wilder Foundation | Assisted Living Facility | 777 Hamline Ave N, Saint Paul, MN 55104 | 2006-12-04 |
| 1568538114 | Amherst H. Wilder Foundation | Home Delivered Meals | 650 Marshall Ave, Saint Paul, MN 55104-6644 | 2006-11-27 |
| 1538312939 | Amherst H. Wilder Foundation | Clinic/Center | 451 Lexington Pkwy N, Saint Paul, MN 55104-4636 | 2008-10-29 |
| 1285792440 | Amherst H. Wilder Foundation | Assisted Living Facility | 650 Marshall Ave, Saint Paul, MN 55104 | 2006-12-04 |
| 1093873259 | Amherst H. Wilder Foundation | Clinic/Center | 650 Marshall Ave, Saint Paul, MN 55104 | 2006-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AMHERST H. WILDER FOUNDATION | 451 Lexington Pkwy N, Saint Paul, MN 55104 |
| Street Address |
919 LAFOND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952476756 | Heather Mcmoore | Counselor | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-21 |
| 1861689556 | Susan Davies | Social Worker | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2007-09-27 |
| 1497952527 | Thomas Nelson | Counselor | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2007-07-02 |
| 1336207596 | Amherst H. Wilder Foundation | Case Management | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-12-04 |
| 1578631552 | Amherst H. Wilder Foundation | Case Management | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-30 |
| 1902973712 | Amherst H. Wilder Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-29 |
| 1144397050 | Amherst H. Wilder Foundation | Clinic/Center | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-29 |
| 1639246440 | Amherst H. Wilder Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-29 |
| 1073689089 | Amherst H. Wilder Foundation | Clinic/Center | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-28 |
| 1609941749 | In-zu Tuan | Psychiatry & Neurology | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902973712 | Amherst H. Wilder Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-29 |
| 1639246440 | Amherst H. Wilder Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 919 Lafond Ave, Saint Paul, MN 55104-2108 | 2006-11-29 |
| 1588730915 | Amherst H. Wilder Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 180 Grotto St S, Saint Paul, MN 55105-3505 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254867 | Julia Keehr-oleson | Residential Treatment Facility, Emotionally Disturbed Children | 1608 W River Rd, Little Falls, MN 56345-4155 | 2016-02-05 |
| 1528226370 | Avanti Center for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 10300 Flanders St Ne, Blaine, MN 55449-5710 | 2008-05-29 |
| 1760666903 | Valley-lake Boy's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3850 200th Ave, Breckenridge, MN 56520-0411 | 2007-12-24 |
| 1043402233 | Pinnacle Programs, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 401 W Luverne St, Magnolia, MN 56158-2004 | 2007-08-13 |
| 1578765269 | Kandiyohi County Group Homes | Residential Treatment Facility, Emotionally Disturbed Children | 822 Park Ave Nw, Willmar, MN 56201-2568 | 2007-06-04 |
| 1710197207 | Network for Native Futures | Residential Treatment Facility, Emotionally Disturbed Children | 6781 160th St Nw, Cass Lake, MN 56633-3049 | 2007-05-23 |
| 1376753160 | Red Lake Department of Family and Children Services | Residential Treatment Facility, Emotionally Disturbed Children | 13586 Tribal Agency Street, Redlake, MN 56671-0427 | 2007-05-23 |
| 1508995689 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1726 7th Ave S, Saint Cloud, MN 56301-5711 | 2007-03-05 |
| 1316076839 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1010 Maryland Lane, Fergus Falls, MN 56537 | 2007-03-02 |
| 1972650893 | Gerard Treatment Programs | Residential Treatment Facility, Emotionally Disturbed Children | 1111 28th St Ne, Austin, MN 55912-6410 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.