WELLNESS GROUP HOME CORPORATION (NPI# 1003460767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003460767 |
| Entity Type | Organization |
| Organization Name | WELLNESS GROUP HOME CORPORATION |
| Practice Address |
2606 64th Ave N Brooklyn Center MN 55430-2007 |
| Practice Telephone | 6122056554 |
| Mailing Telephone | 6122056554 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | ABDIRASHID J ARAB (OWNER) |
| Authorized Official Telephone | 6122056554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
2606 64TH AVE N |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1104450840 | Esteem Home Health Services | Assisted Living Facility | 6324 Scott Ave N, Brooklyn Center, MN 55429-2070 | 2020-03-02 |
| 1063989267 | Royal Home Care Inc | Assisted Living Facility | 5949 Vincent Ave N, Brooklyn Center, MN 55430-2303 | 2018-10-26 |
| 1326555756 | Sanctuary Brooklyn Center Operations, LLC | Assisted Living Facility | 6121 Brooklyn Blvd, Brooklyn Center, MN 55429-4033 | 2018-01-08 |
| 1659897296 | Royal Home Care Inc | Assisted Living Facility | 6701 Scott Ave N, Brooklyn Center, MN 55429-1663 | 2017-08-15 |
| 1093050577 | Earle Brown Terrace Operations LLC | Assisted Living Facility | 6100 Summit Dr N, Brooklyn Center, MN 55430-2151 | 2012-12-10 |
| 1467762849 | Asian American Elderly Assisted Living | Assisted Living Facility | 5313 62nd Ave N, Brooklyn Center, MN 55429-2361 | 2010-10-19 |
| 1447404801 | Tolad Inc | Assisted Living Facility | 7062 Brooklyn Blvd, Brooklyn Center, MN 55429-1370 | 2008-11-12 |
| 1497969455 | Ecumen Home Care | Assisted Living Facility | 6001 Earle Brown Dr, Brooklyn Center, MN 55430-2522 | 2007-05-09 |
| 1578122016 | Unity Trust Home Care LLC | Assisted Living Facility | 5701 Shingle Creek Pkwy Ste 600f, Suite 600 F, Brooklyn Center, MN 55430-2355 | 2019-06-09 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.