Healthcare Provider Details

I. General information

NPI: 1306571849
Provider Name (Legal Business Name): MAPLE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 07/19/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 INVERNESS CENTER PKWY STE 200
HOOVER AL
35242-4983
US

IV. Provider business mailing address

19 INVERNESS CENTER PKWY STE 200
HOOVER AL
35242-4983
US

V. Phone/Fax

Practice location:
  • Phone: 205-490-1395
  • Fax: 205-994-6415
Mailing address:
  • Phone: 205-490-1395
  • Fax: 205-994-6415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: FABRAY TURNER
Title or Position: CEO
Credential:
Phone: 205-490-1395