Coventry Senior Living of Maplewood, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

APPLIED FOR Issued in MN

Legal business name

COVENTRY SENIOR LIVING OF MAPLEWOOD, LLC

Practice address

1870 East Shore Drive
Maplewood, MN 55109

Phone

(651) 777-7784

Fax

(651) 344-0622

NPI assigned

Aug 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Ruppe

Title

Executive Director

Phone

(651) 777-7784

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1104173723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 EAST SHORE DRIVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-777-7784",
            "fax_number": "651-344-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 EAST SHORE DRIVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-777-7784",
            "fax_number": "651-344-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENTRY SENIOR LIVING OF MAPLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "RUPPE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-777-7784"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• County of Ramsey
• Susan Irene Courneya, B.A.
• Charisse Margaret Courteau, OTR/L
• Mara Coyle, LPCC ATR
• Rodney L Coyour, CRNA
• Stacie L Crawford, CRNA
• Kimberly Kay Creasey, LPCC
• Gregory Crewdson, DO

• Home Health Agency in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.