Organization
VOA CARE CENTERS, MINNESOTA
Active
Other names
Maplewood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GAVIN (ASSISTANT SECRETARY, TREASURER)
(952) 941-0305
Entity
Organization
Contact information
Practice address
1900 SHERREN AVE E, SAINT PAUL, MN 55109-2803
(651) 770-1365
(651) 770-1646
Mailing address
7485 OFFICE RIDGE CIR, EDEN PRAIRIE, MN 55344-3690
(952) 941-0305
(952) 941-0428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330192
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010343800
—
MN
01
—
60092
HEALTH PARTNERS
MN
01
—
71-00059
MEDICA DUAL SOLUTIONS
MN
01
—
71-11833
MEDICA
MN
01
—
8735MA
BCBS AND BLUE PLUS
MN
01
—
NH0081
UCARE AND EVERCARE UCARE
MN
Enumeration date
12/13/2006
Last updated
02/05/2021
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