PREMIER WELLNESS INC – NPI #1710586649
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.

Health Care Provider Taxonomy Code for Assisted Living Facility

PREMIER WELLNESS INC is an assisted living facility located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1710586649 to PREMIER WELLNESS INC on October 21, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 5 years ago on Jul 28, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIER WELLNESS INC below.

NPI Profile for
PREMIER WELLNESS INC

NPI Number
1710586649
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIER WELLNESS INC
Primary location
2909 HENNEPIN AVE S., STE 200
MINNEAPOLIS, MN 55408
Phone: (612) 598-4120 Fax:
Mailing address
1422 W LAKE ST STE 213
MINNEAPOLIS, MN 55408-2616
Phone: (612) 223-6744 Fax: (612) 223-6773
Organization Subpart
No
Authorized Official
YUSSUF ABDI
DIRECTOR
Phone: (612) 598-4120
Updated
Certification Date
Jul 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
251S00000X
- Community/Behavioral Health
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.