OrganizationActive
Outcomes, Inc.
NPI 1811052053 · Intellectual Disabilities Intermediate Care Facility · Maplewood, MN
Provider details
- NPI number
- 1811052053
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Susan Norton, Executive Director
- License
- 8020231RS (MN)
Practice location
2951 Bartelmy Ln
Maplewood, MN 55109-1574
Phone: (651) 770-1296
Fax: (651) 483-0775
Mailing address
3508 Rice St
Saint Paul, MN 55126-3170
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.