WELLNESS DIABETES CARE LLC (NPI# 1952603862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952603862 |
| Entity Type | Organization |
| Organization Name | WELLNESS DIABETES CARE LLC |
| Practice Address |
11005 Tyler St Ne Blaine MN 55434-4535 |
| Practice Telephone | 6122424521 |
| Mailing Telephone | 6122424521 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | LIBAN MUSE (OWNER) |
| Authorized Official Telephone | 6122424521 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLNESS RX HOMECARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 348301 | MN | Suppliers |
| Street Address |
11005 TYLER ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| Find all providers in zip 55434 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681958 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 10881 University Ave Ne, Blaine, MN 55434 | 2016-10-28 |
| 1205273984 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 11505 Ulysses St Ne, Blaine, MN 55434-4239 | 2013-06-04 |
| 1255574430 | Superior Medical Services Inc | Durable Medical Equipment & Medical Supplies | 10995 Club West Pkwy, Suite 500, Blaine, MN 55449-5058 | 2009-04-17 |
| 1750566287 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10905 Ulysses St Ne, Blaine, MN 55434-3827 | 2008-01-03 |
| 1093824302 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1195 Boblett Street, Blaine, WA 98230-5157 | 2006-08-30 |
| 1043326457 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 12595 Central Ave Ne, Blaine, MN 55434 | 2006-08-21 |
| 1225143365 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 585 Northtown Dr Ne, Blaine, MN 55434 | 2006-08-20 |
| 1649385782 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 4205 Pheasant Ridge Dr Ne, Blaine, MN 55449-4529 | 2006-08-20 |
| 1124033352 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 600 County Road 10 Ne, Blaine, MN 55434-2329 | 2006-07-29 |
| 1023023256 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4202 Pheasant Ridge Dr Ne, Blaine, MN 55449-4529 | 2006-07-29 |
| Find all providers in BLAINE | ||||
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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.