WILD RIVER SERVICES (NPI# 1679988109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679988109 |
| Entity Type | Organization |
| Organization Name | WILD RIVER SERVICES |
| Other Organization Name | THE HEIGHTS |
| Practice Address |
796 Capitol Hts Saint Paul MN 55103-1852 |
| Mailing Address |
1246 University Ave W Suite 101 Saint Paul MN 55104-4125 |
| Practice Telephone | 6515589522 |
| Mailing Telephone | 6515589522 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | COLIN KELLY FAULKNER II (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6515589522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1084357 | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Heights | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285095778 | Wild River Services | Clinic/Center | 1246 University Ave W Ste 101, Saint Paul, MN 55104-4125 | 2016-03-11 |
| Street Address |
796 CAPITOL HTS |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932474350 | Nancy Ann Olesen | Counselor | 796 Capitol Hts, Saint Paul, MN 55103-1852 | 2012-03-19 |
| 1881009306 | Colin Kelly Faulkner II | Counselor | 796 Capitol Hts, Saint Paul, MN 55103-1852 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1376076604 | North Point Health &wellness Center | Substance Abuse Rehabilitation Facility | 950 Sherburne Ave, Saint Paul, MN 55104-2606 | 2017-04-04 |
| 1871931535 | Volunteers of America | Substance Abuse Rehabilitation Facility | 1394 Jackson St, Saint Paul, MN 55117-4629 | 2013-06-04 |
| 1780850446 | Volunteers of America of Minnesota | Substance Abuse Rehabilitation Facility | 5100 Hodgson Rd, Saint Paul, MN 55126-1229 | 2008-05-02 |
| 1649440355 | Juel Fairbanks Chemical Dependency Services | Substance Abuse Rehabilitation Facility | 806 Albert St N, Saint Paul, MN 55104-1303 | 2008-03-10 |
| 1588878599 | Tapestry, LLC | Substance Abuse Rehabilitation Facility | 1609 Jackson St, Saint Paul, MN 55117-3917 | 2007-05-09 |
| 1689708083 | Twin Town Treatment Center | Substance Abuse Rehabilitation Facility | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2007-03-15 |
| 1154455533 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 1885 University Avenue West, Suite 151, Saint Paul, MN 55104 | 2007-03-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55103 |
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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.