Kaplan Woods LLC

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

KAPLAN WOODS LLC

Doing business as

Kaplan Woods Care Home

Practice address

285 Cedardale Dr SE
Owatonna, MN 55060-4425

Phone

(507) 451-5327

NPI assigned

Jun 28, 2020

Last updated

Jun 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sanjiv S Modi, MD

Title

Managing Member

Phone

(815) 405-6860

Specialties & licenses 1

Addresses

Other names 1

• Kaplan Woods Care Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700403565. Details of each certification follow.

• CCN 24G376 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 24G376

Legal name

KAPLAN WOODS CARE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 26, 1982

Last certification

May 29, 2025

Beds

16

Ownership / control type

Private (proprietary)

Facility address

285 Cedardale Dr
Owatonna, MN 55060

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott A Bangs, MD

  • Family Medicine Physician
  • Owatonna, MN
  • NPI 1912967662
  NPD (past)

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1700403565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S PRAIRIE AVE APT 4901",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053662",
            "telephone_number": "815-405-6860",
            "fax_number": "888-720-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CEDARDALE DR SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604425",
            "telephone_number": "507-451-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPLAN WOODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "815-405-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaplan Woods Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Rae Jorgensen, COLLABORATIVE RDH
• Katie Juaire, OTR/L
• Scott E Julian, MD
• Leann Marie Kahl, MS, LPCC, NCC
• Kaplan Woods Care Home
• Kelly Karsten, RN
• Shannon Melody Karsten, LGSW
• Nicole Susan Kasparek, NP
• Patrina Kasper
• Aicha Sylvie Katty, CNP

• Mental Illness Intermediate Care Facility in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Mental Illness Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.