WILD RIVER SERVICES INC
NPI 1962013847
Clinic/Center - Adult Day Care in Saint Paul, MN

Active since August 13, 2020
1394 JACKSON ST STE 220, SAINT PAUL, MN 55117(651) 558-9522 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wild River Services Inc NPPES

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

WILD RIVER SERVICES INC (NPI 1962013847), doing business as The Haven, is a healthcare organization registered as an adult day care in Saint Paul, Minnesota and active in the NPI registry since August 2020. The organization lists Colin Kelly Faulkner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962013847
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameWILD RIVER SERVICES INC
Location Address1394 JACKSON ST STE 220Saint Paul, MN 55117-4631
Mailing Address1394 Jackson St Ste 220Saint Paul, MN 55117-4631 · (651) 558-9522
Organization SubpartNo
Authorized OfficialColin Kelly FaulknerExecutive Director · (651) 558-9522
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1962013847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
1394 JACKSON ST STE 220, Saint Paul, MN 55117

Other Names 1

Doing Business AsThe Haven

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 Wild River Services Inc's NPI number?

The NPI number for Wild River Services Inc is 1962013847. It was assigned to this organization in the NPPES registry on August 13, 2020. The provider is doing business as The Haven.

Where is Wild River Services Inc located?

Wild River Services Inc is located at 1394 Jackson St Ste 220, Saint Paul, MN 55117. The listed phone number is (651) 558-9522.

What is Wild River Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Wild River Services Inc was last updated on August 13, 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.