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The Wayside House, Inc

Substance Abuse Rehabilitation Facility in Saint Louis Park, MN · enumerated 2006 · authorized official Jennifer Wilson, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235223652

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Registry record

Entity type Organization (Type 2)
Legal business name The Wayside House, Inc
Practice address 3705 Park Center Blvd, Saint Louis Park, MN, 55416
Fax (952) 926-9713
Enumeration date Oct 2, 2006
Last updated in NPPES Nov 12, 2025

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 802632-1-CDT (MN) Primary

Authorized official

Name Jennifer Wilson
Title Billing Manager

Other identifiers

Identifier Type State Issuer
389255700 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is The Wayside House, Inc?
The Wayside House, Inc is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-12.