Havenwood Of Maple Glen

LBN: Gopher (Maple Grove) Trs Llc
Havenwood Of Maple Glen is an health care organization with primary practice located at 18695 73Rd Ave N , Maple Grove MN 55311-6604. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Gopher (Maple Grove) Trs Llc can be contacted via phone (763) 363-8640, or through Sims, Laura via phone (214) 754-8623.

Contact Information

Primary practice address
18695 73Rd Ave N Maple Grove MN 55311-6604
Phone: (763) 363-8640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sims, Laura
Phone: (214) 754-8623

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1598416430
LBN Legal business name Gopher (Maple Grove) Trs Llc
DBA Doing business as Havenwood Of Maple Glen
Authorized official Sims, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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