MEDICARE: THE MAPLES HEALTH CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	57	WV
2	310400000X	Assisted Living Facility	506061	WV
3	313M00000X	Nursing Facility/Intermediate Care Facility	57	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326041914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MAPLES HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	1600 BLAND ST
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-3775
Country	:	US
Telephone Number	:	304-327-2485
Fax Number	:	304-323-1054

Provider Business Practice Location Address
First Line	:	1600 BLAND ST
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-3775
Country	:	US
Telephone Number	:	304-327-2485
Fax Number	:	304-323-1054

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. BRENDA K. EPPERSON
Credential	:	BSN,NHA,CALA
Telephone Number	:	304-327-2485

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/12/2012

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Directions to “THE MAPLES HEALTH CARE, INC ” Practice Location

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