Organization Active NPI

Meadow Woods of Bloomington LP

  • Assisted Living Facility
  • Bloomington, MN
National Provider Identifier
1386836971
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MEADOW WOODS OF BLOOMINGTON LP
Practice address
1301 E 100TH St
Bloomington, MN 55425-2628
Phone
(952) 888-1010
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Denver Kaufman
Title
President
Phone
(612) 371-0053

Specialties & licenses 1

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

Addresses

Primary practice location

1301 E 100TH St
Bloomington, MN 55425-2628

Mailing address

1401 E 100TH St
Bloomington, MN 55425-2615
Phone (952) 888-7751

Other names 1

  • Meadow Woods Doing business as

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
24D1043002Meadow Woods Assisted Living1301 E 100TH Street, Bloomington, MN 55425Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1386836971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252615",
            "telephone_number": "952-888-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252628",
            "telephone_number": "952-888-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW WOODS OF BLOOMINGTON LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "DENVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-371-0053"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.