Healthcare Provider Details

I. General information

NPI: 1043217409
Provider Name (Legal Business Name): MAPLE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16231 BROADWAY AVE
MAPLE HEIGHTS OH
44137-2526
US

IV. Provider business mailing address

16231 BROADWAY AVE
MAPLE HEIGHTS OH
44137-2526
US

V. Phone/Fax

Practice location:
  • Phone: 216-662-0551
  • Fax: 216-662-7754
Mailing address:
  • Phone: 216-662-0551
  • Fax: 216-662-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3830
License Number StateOH

VIII. Authorized Official

Name: MR. LOUIS HERSHEL KRAUS
Title or Position: ADMINISTRATOR
Credential: L.N.H.A.
Phone: 216-662-0551