Minot GV LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MINOT GV LLC

Doing business as

Maple View Minot

Practice address

2805 Elk Dr
Minot, ND 58701-5605

Phone

(701) 852-7700

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Chad Michael Olson

Title

Cfo

Phone

(701) 852-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maple View Minot Doing business as

Locations

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1952908345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 ELK DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015605",
            "telephone_number": "701-852-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 ELK DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015605",
            "telephone_number": "701-852-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOT GV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-852-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456042",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple View Minot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minot Area Recovery Community Organization
• Minot Center for Pediatric Therapy
• Minot Commission on Aging, Inc (Prairie Rose Home Service)
• Minot Dental Partners
• Minot Dentistry PC (Dental Care Associates)
• Minot Health and Rehab LLC
• Minot Health Clinic, PLLC (Minot Health Clinic)
• Minot Public Schools
• Minot Public Schools
• Minot Rehabilitation and Care Center, LLC

• Alzheimer Center (Dementia Center) in Minot, ND
• Providers in Minot, ND by specialty
• Alzheimer Center (Dementia Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.