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MINNEOSTA WELLNESS CENTER LLC
NPI 1821533779
Point of Service in Saint Paul, MN

Active since January 02, 2017CLIA Certified · 2 labs
808 BERRY ST APT 192, SAINT PAUL, MN 55114(612) 618-5841(651) 646-0950 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minneosta Wellness Center Llc NPPES

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

MINNEOSTA WELLNESS CENTER LLC (NPI 1821533779) is a healthcare organization registered as a point of service in Saint Paul, Minnesota and active in the NPI registry since January 2017. The organization holds 2 active CLIA laboratory certificates and lists Ubah Abubaker Shirwa, Owner, as its authorized official.

NPPES Registry Identity

NPI1821533779
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameMINNEOSTA WELLNESS CENTER LLC
Location Address808 BERRY ST APT 192Saint Paul, MN 55114-1082
Mailing Address808 Berry St Apt 192Saint Paul, MN 55114-1082 · (612) 618-5841 · Fax (651) 646-0950
Phone(612) 618-5841
Fax(651) 646-0950
Organization SubpartNo
Authorized OfficialUbah Abubaker ShirwaOwner · (612) 618-5841
Enumeration DateJanuary 2, 2017
✔ NPI 1821533779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in MN · 1083995-1-HCBS
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 1083995-1-HCBS (MN)
808 BERRY ST APT 192, Saint Paul, MN 55114
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CLIA Laboratory Certificates CMS CLIA 2

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 24D2169516

Minnesota Wellness Center · Hopkins, MN
Active · expires Jul 22, 2027
CLIA Number24D2169516
Laboratory TypeGroup Home
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorUbah A. Shirwa
Laboratory Phone(612) 618-5841
Laboratory LocationMinnesota Wellness Center724 Robinwood Lane, Hopkins, MN 55305
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2191635

Minnesota Wellness Center · Minnetonka, MN
Active · expires Aug 30, 2026
CLIA Number24D2191635
Laboratory TypeGroup Home
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorUbah A. Shirwa
Laboratory Phone(612) 618-5841
Laboratory LocationMinnesota Wellness Center11103 Oak Knoll Terrance N, Minnetonka, MN 55305
CLIA data matches this NPI record on: 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 Minneosta Wellness Center LLC's NPI number?

The NPI number for Minneosta Wellness Center LLC is 1821533779. It was assigned to this organization in the NPPES registry on January 2, 2017.

Where is Minneosta Wellness Center LLC located?

Minneosta Wellness Center LLC is located at 808 Berry St Apt 192, Saint Paul, MN 55114. The listed phone number is (612) 618-5841.

What is Minneosta Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Minneosta Wellness Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Minneosta Wellness Center LLC was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.