National Provider Identifier Database

CHP MAPLEWOOD MN TENANT CORP
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

CHP MAPLEWOOD MN TENANT CORP.
1870 E. SHORE DRIVE
MAPLEWOOD, MN55109
Phone: 651-777-7784
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for CHP MAPLEWOOD MN TENANT CORP.

NPI Number 1205295516
Legal business name
LBN
CHP MAPLEWOOD MN TENANT CORP.
Authorized official TRACEY BRACCO - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/15/2016
Last updated 10/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: HFID29005

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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