Provider Demographics
NPI:1518750041
Name:WEAVER HEALTH LLC
Entity type:Organization
Organization Name:WEAVER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT GERIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:UCHECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAJUOYI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:763-742-7593
Mailing Address - Street 1:6471 CARRIAGE WAY
Mailing Address - Street 2:
Mailing Address - City:CORCORAN
Mailing Address - State:MN
Mailing Address - Zip Code:55340-4445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6471 CARRIAGE WAY
Practice Address - Street 2:
Practice Address - City:CORCORAN
Practice Address - State:MN
Practice Address - Zip Code:55340-4445
Practice Address - Country:US
Practice Address - Phone:763-742-7593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility