Maplewood Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAPLEWOOD ASSISTED LIVING INC

Practice address

1799 Edgerton St
Maplewood, MN 55117-2420

Phone

(763) 923-5651

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Suleyman Kawo

Title

Owner

Phone

(763) 923-5651

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1811631807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 EDGERTON ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172420",
            "telephone_number": "763-923-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 EDGERTON ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172420",
            "telephone_number": "763-923-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KAWO",
        "authorized_official_first_name": "SULEYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-923-5651"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHHD2H",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5C536G",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40848",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Mar 12, 2025; 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.