Organization Active NPI

Maple Woods Inc

  • Assisted Living Facility
  • Cohasset, MN
National Provider Identifier
1285904672
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MAPLE WOODS INC
Practice address
40170 County Road 257
Cohasset, MN 55721-8826
Phone
(218) 999-9072
Fax
(218) 999-9068
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Mr. Dean Leonard Dickson
Title
Owner
Phone
(218) 999-9072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MN Primary

Addresses

Primary practice location

40170 County Road 257
Cohasset, MN 55721-8826

Mailing address

40170 County Road 257
Cohasset, MN 55721-8826
Phone (218) 999-9072

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2000360Maple Woods Assisted Living40170 County Road 257, Cohasset, MN 55721Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

40170 County Road 257
Cohasset, MN 55721
Phone (218) 999-9072

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1285904672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40170 COUNTY ROAD 257",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557218826",
            "telephone_number": "218-999-9072",
            "fax_number": "218-999-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40170 COUNTY ROAD 257",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557218826",
            "telephone_number": "218-999-9072",
            "fax_number": "218-999-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE WOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-999-9072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.