AMHERST H. WILDER FOUNDATION


Address: Lincoln Place, 1997 Gold Trail, Eagan, MN 55122
Phone: 6512802000

AMHERST H. WILDER FOUNDATION (NPI# 1194213280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194213280
Entity Type Organization
Organization Name AMHERST H. WILDER FOUNDATION
Other Organization Name HOUSING SUPPORT
Practice Address Lincoln Place
1997 Gold Trail
Eagan
MN 55122
Mailing Address 451 Lexington Pkwy N
Saint Paul
MN 55104-4636
Practice Telephone 6512802000
Mailing Telephone 6512802357
Enumeration Date 2018-04-25
Last Update Date 2018-06-16
Authorized Official Name MEGAN KETTUNEN (ADMIN BUSINESS MANAGER)
Authorized Official Telephone 6512802310
Is Organization Subpart Y
Parent Organization Name HOUSING SUPPORT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 177F00000X Lodging Other Service Providers
Y 177F00000X Lodging MN Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Housing Support Doing Business As Name - Organization
Housing Support Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1598823767 Amherst H. Wilder Foundation Home Health 650 Marshall Ave, Saint Paul, MN 55104 2006-12-04

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations AMHERST H. WILDER FOUNDATION 451 Lexington Pkwy N, Saint Paul, MN 55104

Office Location

Street Address LINCOLN PLACE
1997 GOLD TRAIL
City EAGAN
State MN
Zip Code 55122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730651753 Alvaro Jesus Jimenez Aguilar Registered Nurse 1764 Silver Bell Rd, Eagan, MN 55122 2019-01-02
1831541168 Mackenzie Lea Kerber Counselor 3410 Federal Dr Suite 101, Eagan, MN 55122 2016-07-11
1285010074 Eagan Pointe Senior Living Assisted Living Facility 4232 Black Hawk Road, Eagan, MN 55122 2015-08-04
1700268828 Kara Beth Rose Specialist/Technologist 4560 Cinnamon Ridge Trail, Eagan, MN 55122 2015-06-25
1558740803 Samuel Johnson Physician Assistant 2901 Metro Drive, Suite 527, Bloomington, MN 55122 2015-05-20
1528451028 Judi Ross Holistic Therapy, LLC Marriage & Family Therapist 4141 Old Sibley Memorial Highway, Eagan, MN 55122 2015-03-09
1447649637 Leah Ruth Streitman Physician Assistant 3460 Washington Dr Ste 200, Eagan, MN 55122 2015-01-12
1518362193 Cedar Valley Center for Child & Family Therapy Preferred Provider Organization 3460 Washington Dr., Suite 110, Eagan, MN 55122 2014-10-25
1316351703 Wecare Dental of Eagan P.c Clinic/Center 1625 Lena Court Suite 100, Eagan, MN 55122 2014-06-13
1063836591 A Touch of Solitude Massage Therapist 3440 Federal Drive Suite 140, Eagan, MN 55122 2014-02-04
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Taxonomy Information

Taxonomy Code 177F00000X
Grouping Other Service Providers
Classification Lodging

Taxonomy Definition

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295891042 Keystone Communities of Eagan Lodging 3810 Alder Ln, Eagan, MN 55122-3831 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174122758 Kmjv Operation LLC Lodging 19351 Indiana Ave, Lakeville, MN 55044-4849 2020-10-23
1396395349 Jerald Mitchell Lodging 120 3rd Ave N, Biwabik, MN 55708-3032 2019-09-11
1124687322 Thibodeaux Real Estate Conglomerate Lodging 4245 Golden Valley Rd, Golden Valley, MN 55422-4215 2019-06-11
1417416504 The Chestnut Burrow Lodging 423 Chestnut St, Virginia, MN 55792-2525 2019-03-18
1558874743 Kelly-norton Programs, Inc. Lodging 1928 Stevens Ave, Minneapolis, MN 55403-3835 2017-11-09
1114441987 Darlene Benson Lodging 22383 Nebish Rd Ne, Blackduck, MN 56630-5138 2017-08-02
1972816155 Erie Beehler Lodging 12407 Parkwood Ln Nw, Bemidji, MN 56601-6178 2010-07-16
1487966115 Michele Astrup Lodging 21251 Co 35, Underwood, MN 56586 2010-07-10
1336466614 Kristin Zachman Lodging 5080 Naber Ave Ne, Saint Michael, MN 55376-9424 2010-04-27
1760615165 David H. Paul Lodging 59 Woodhill Rd, Saint Cloud, MN 56301-5144 2009-09-01
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Competitor

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City EAGAN
Zip Code 55122

Improve Information

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Dataset Information

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.

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