OrganizationActive
Wingspan Life Resources
NPI 1871641373 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Saint Paul, MN
Provider details
- NPI number
- 1871641373
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Therese Davis, Executive Director(651) 242-5840
- License
- HFID 01287 (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense HFID 01198 (MN)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense HFID 01287 (MN)
Residential Treatment Facilities
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Plato Blvd E
Saint Paul, MN 55107-1809
Phone: (651) 242-5840
Street-level locationGet directions
Mailing address
30 Plato Blvd E
Saint Paul, MN 55107-1809
Additional practice locations (2)
- 1846 Dayton AveSaint Paul, MN 55104-6012Phone: (651) 646-3846
- 1846 Portland AveSaint Paul, MN 55104-6062Phone: (651) 646-3846
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2019-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.