Wayside Recovery – Substance Abuse Rehabilitation Facility, NPI 1235223652

Wayside Recovery is a healthcare provider. based in Saint louis park, Minnesota. specializing in Substance Abuse Rehabilitation Facility. The organization holds a License No. 802632-1-CDT (MN). The NPI Number for Wayside Recovery is 1235223652

Main info

Organization
Name
Wayside Recovery
NPI
1235223652
Phone
(952) 926-5626
Address
3705 PARK CENTER BLVD
Authorized Official
JENNIFER WILSON BILLING MANAGER
Enumeration Date
2 October 2006
Last Update Date
12 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for Wayside Recovery

  • Wayside Women's Treatment Center, 3705, Park Center Boulevard, Wolfe Park, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SAINT LOUIS PARK, MN 554162504

    Phone: (952) 926-5626

    Fax: (952) 926-9713

    Type: Mailing

  • 1600 UNIVERSITY AVE W STE 300

    SAINT PAUL, MN 551043800

    Phone: (651) 242-5540

    Fax: (651) 209-6341

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Reviews

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Frequently asked questions

What federal number belongs to Wayside Recovery?
The federal identifier for Wayside Recovery is NPI 1235223652.
Is Wayside Recovery's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Wayside Recovery?
The page reflects Substance Abuse Rehabilitation Facility for Wayside Recovery. Clinical services aligned with this taxonomy classification.
Where does public data place Wayside Recovery?
The snapshot lists Saint Louis Park, Minnesota for Wayside Recovery; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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