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WELLNESS GROUP HOME CORPORATION
NPI 1003460767
Assisted Living Facility in Brooklyn Center, MN

Active since July 30, 2019
2606 64TH AVE N, BROOKLYN CENTER, MN 55430(612) 205-6554 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellness Group Home Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS GROUP HOME CORPORATION (NPI 1003460767) is a healthcare organization registered as an assisted living facility in Brooklyn Center, Minnesota and active in the NPI registry since July 2019. The organization lists Abdirashid J Arab, Owner, as its authorized official.

NPPES Registry Identity

NPI1003460767
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWELLNESS GROUP HOME CORPORATION
Location Address2606 64TH AVE NBrooklyn Center, MN 55430-2007
Mailing Address2606 64th Ave NBrooklyn Center, MN 55430-2007 · (612) 205-6554
Phone(612) 205-6554
Organization SubpartNo
Authorized OfficialAbdirashid J ArabOwner · (612) 205-6554
Enumeration DateJuly 30, 2019
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1003460767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
2606 64TH AVE N, Brooklyn Center, MN 55430
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2190461

Wellness Group Home Corporation · Brooklyn Center, MN
Expired · Aug 12, 2026
CLIA Number24D2190461
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorAbdirashid Arab
Laboratory Phone(612) 205-6554
Laboratory LocationWellness Group Home Corporation2606 64th Ave N, Brooklyn Center, MN 55430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Group Home Corporation's NPI number?

The NPI number for Wellness Group Home Corporation is 1003460767. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is Wellness Group Home Corporation located?

Wellness Group Home Corporation is located at 2606 64th Ave N, Brooklyn Center, MN 55430. The listed phone number is (612) 205-6554.

What is Wellness Group Home Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Wellness Group Home Corporation was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.