WINGSPAN LIFE RESOURCES
NPI 1871641373
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Paul, MN

Q: What is Wingspan Life Resources's NPI number?

The NPI number for Wingspan Life Resources is 1871641373. It was assigned to this organization in the NPPES registry on January 8, 2007.

Q: What is Wingspan Life Resources's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 08, 2007

30 PLATO BLVD E, SAINT PAUL, MN 55107(651) 242-5840 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Wingspan Life Resources NPPES

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

WINGSPAN LIFE RESOURCES (NPI 1871641373) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Saint Paul, Minnesota and active in the NPI registry since January 2007. The organization maintains 2 additional practice locations and lists Therese G Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871641373

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameWINGSPAN LIFE RESOURCES

Location Address30 PLATO BLVD ESaint Paul, MN 55107-1809

Mailing Address30 Plato Blvd ESaint Paul, MN 55107-1809 · (651) 242-5840 · Fax (651) 646-2347

Phone(651) 242-5840

Organization SubpartNo

Authorized OfficialTherese G DavisExecutive Director · (651) 242-5840

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJune 24, 2019

✔ NPI 1871641373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Licenses✔ Licensed in MN · HFID 01198✔ Licensed in MN · HFID 01287

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

30 PLATO BLVD E, Saint Paul, MN 55107

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Secondary Practice Locations 2

Location 11846 Dayton AveSaint Paul, MN 55104-6012 · Phone (651) 646-3846

Location 21846 Portland AveSaint Paul, MN 55104-6062 · Phone (651) 646-3846

Other Identifiers 2

Other047148000MN · Icfmr - Marshall

Other014245000MN · Icfmr - 91st Str

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 Wingspan Life Resources's NPI number?

The NPI number for Wingspan Life Resources is 1871641373. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Wingspan Life Resources located?

Wingspan Life Resources is located at 30 Plato Blvd E, Saint Paul, MN 55107. The listed phone number is (651) 242-5840.

What is Wingspan Life Resources's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Wingspan Life Resources was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.