WILD RIVER SERVICES INC (NPI# 1962013847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962013847 |
| Entity Type | Organization |
| Organization Name | WILD RIVER SERVICES INC |
| Practice Address |
1394 Jackson St Ste 220 Saint Paul MN 55117-4631 |
| Practice Telephone | 6515589522 |
| Mailing Telephone | 6515589522 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | COLIN KELLY FAULKNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6515589522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Haven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467961193 | Wild River Services Inc | Substance Abuse Rehabilitation Facility | 1394 Jackson St, Saint Paul, MN 55117 | 2017-09-26 |
| Street Address |
1394 JACKSON ST STE 220 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55117-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894957 | Minnesota Lotus LLC | Clinic/Center | 1983 Sloan Pl Ste 13-14, Saint Paul, MN 55117-2087 | 2020-06-02 |
| 1497397491 | Forever Friendship Adult Day Center | Clinic/Center | 734 Snelling Ave N, Saint Paul, MN 55104-2384 | 2019-10-10 |
| 1750896189 | Joyful Senior Center LLC | Clinic/Center | 1239 Payne Ave Ste 204, Saint Paul, MN 55130-3667 | 2017-12-07 |
| 1326573080 | Hmong Adult Day Care Center Inc | Clinic/Center | 1459 Rice St, Ste 1, Saint Paul, MN 55117-3864 | 2017-05-01 |
| 1043768849 | Unique Adult Day Care Center, LLP | Clinic/Center | 911 Rice St, Saint Paul, MN 55117-5424 | 2016-09-21 |
| 1700204450 | Gvp Senior Care Center, Inc. | Clinic/Center | 1600 White Bear Ave N, Saint Paul, MN 55106-1608 | 2014-03-31 |
| 1710263710 | University Adult Day Care Center Inc | Clinic/Center | 2434 University Ave W, Saint Paul, MN 55114 | 2011-10-23 |
| 1669609947 | East African Social Center | Clinic/Center | 1821 University Ave W Ste 196, Saint Paul, MN 55104-2870 | 2009-06-15 |
| 1346439635 | Hmong American Partnership | Clinic/Center | 1075 Arcade St, Saint Paul, MN 55106-3213 | 2007-10-23 |
| 1538359211 | Minnesota Transportation Services LLC | Clinic/Center | 1001 Johnson Parkway, Suite #127, Saint Paul, MN 55106 | 2007-07-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55117 |
Please comment or provide details below to improve the information on WILD RIVER SERVICES INC.
| 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.