Healthcare Provider Details

I. General information

NPI: 1093649311
Provider Name (Legal Business Name): MAPLE SUMMIT HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 E FOURTH ST STE 100
FREDERICK MD
21701-3601
US

IV. Provider business mailing address

3852 GLASGOW WAY
FREDERICK MD
21704-7804
US

V. Phone/Fax

Practice location:
  • Phone: 520-891-4240
  • Fax:
Mailing address:
  • Phone: 520-891-4240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PARIJAT JAIN
Title or Position: OWNER
Credential: PHD
Phone: 520-891-4240