Maplewood Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAPLEWOOD ASSISTED LIVING LLC

Practice address

1900 Sherren Ave E
Maplewood, MN 55109-2803

Phone

(651) 770-1361

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Legum

Title

President

Phone

(507) 203-1001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1346018884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 CORPORATE CENTER CURV",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211295",
            "telephone_number": "507-203-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SHERREN AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092803",
            "telephone_number": "651-770-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-203-1001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Manelli, APRN, CNP
• Bernard Michael Manthei, DDS
• Maple Grove Children'S Surgery Center, LLC
• Maple Hill Senior Living
• Maplewood Assisted Living Inc
• Maplewood Care Group LLC
• Maplewood Care Residence
• Maplewood Chiropractic Health Center PA
• Maplewood Dental Associates PA
• Maplewood Imaging Center LLC

• Assisted Living Facility in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.