Provider Demographics
NPI:1841651916
Name:WELLNESS HOMES INC.
Entity type:Organization
Organization Name:WELLNESS HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:NOOR
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-701-5965
Mailing Address - Street 1:214 E 19TH ST
Mailing Address - Street 2:APT 301
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-3963
Mailing Address - Country:US
Mailing Address - Phone:612-701-5965
Mailing Address - Fax:
Practice Address - Street 1:214 E 19TH ST
Practice Address - Street 2:APT 301
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3963
Practice Address - Country:US
Practice Address - Phone:612-701-5965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness