OrganizationActive
Wild River Services Inc
NPI 1962013847 · Adult Day Care Clinic/Center · Saint Paul, MN
Provider details
- NPI number
- 1962013847
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Colin Faulkner, Executive Director(651) 558-9522
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1394 Jackson St Ste 220
Saint Paul, MN 55117-4631
Phone: (651) 558-9522
Street-level locationGet directions
Mailing address
1394 Jackson St Ste 220
Saint Paul, MN 55117-4631
Other names (DBA / former)
- Doing business as
- The Haven
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.