CHP MAPLEWOOD MN TENANT CORP.; NPI #1205295516

Contact Information

CHP MAPLEWOOD MN TENANT CORP.

1870 E. SHORE DRIVE
MAPLEWOOD, MN 55109

Phone: 651-777-7784
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for CHP MAPLEWOOD MN TENANT CORP.

NPI Number 1205295516

LBN Legal business name CHP MAPLEWOOD MN TENANT CORP.

Authorized official TRACEY BRACCO - (SENIOR VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/15/2016

Last updated 10/30/2023 - About 3 years ago

Identifiers

License #

HFID29005

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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