The Wayside House, Inc
LBN: The Wayside House, Inc
The Wayside House, Inc is an health care organization with primary practice located at 3705 Park Center Blvd , Saint Louis Park MN 55416-2504. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty.
The Wayside House, Inc can be contacted via phone (952) 926-5626, or through Taylor, Deb via phone (952) 926-5626.
Contact Information
Primary practice address
3705 Park Center Blvd
Saint Louis Park MN 55416-2504
Phone: (952) 926-5626
Fax: (952) 926-9713
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 802632-1-CDT | Minnesota |
Profile Details
NPI number | 1235223652 |
---|---|
LBN Legal business name | The Wayside House, Inc |
DBA Doing business as | |
Authorized official | Taylor, Deb Master of Arts (MA) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235223652 | NPPES |
Minnesota | MEDICAID | 389255700 |
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