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WANDA HOUSEN
NPI 1154551141
Custodial Care Facility - Adult Care Home in Saint Cloud, MN

Active since July 23, 2009
1112 14TH AVE SE, SAINT CLOUD, MN 56304(320) 229-8758(320) 259-7837 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda Housen NPPES

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

WANDA HOUSEN (NPI 1154551141) is an individual adult care home provider in Saint Cloud, Minnesota, licensed in Minnesota (1034669-3-AFC) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1154551141
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameWANDA HOUSEN
Location Address1112 14TH AVE SESaint Cloud, MN 56304-1742
Mailing Address1112 14th Ave SeSaint Cloud, MN 56304-1742 · (320) 229-8758 · Fax (320) 259-7837
Phone(320) 229-8758
Fax(320) 259-7837
Sole ProprietorYes
Enumeration DateJuly 23, 2009
✔ NPI 1154551141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MN · 1034669-3-AFC
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1112 14TH AVE SE, Saint Cloud, MN 56304
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PATRICK LEE RUDOLPH
Foster Care Agency
1112 14TH AVE SE
SAINT CLOUD, MN 56304
Sherburne County (320) 237-4291

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 Wanda Housen's NPI number?

The NPI number for Wanda Housen is 1154551141. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Wanda Housen located?

Wanda Housen practices at 1112 14th Ave SE, Saint Cloud, MN 56304. The listed phone number is (320) 229-8758.

What is Wanda Housen's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Wanda Housen was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.