Provider Demographics
NPI:1700403565
Name:KAPLAN WOODS LLC
Entity Type:Organization
Organization Name:KAPLAN WOODS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJIV
Authorized Official - Middle Name:S
Authorized Official - Last Name:MODI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-405-6860
Mailing Address - Street 1:1211 S PRAIRIE AVE APT 4901
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3662
Mailing Address - Country:US
Mailing Address - Phone:815-405-6860
Mailing Address - Fax:888-720-8990
Practice Address - Street 1:285 CEDARDALE DR SE
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-4425
Practice Address - Country:US
Practice Address - Phone:507-451-5327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-28
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness