Healthcare Provider Details

I. General information

NPI: 1811998206
Provider Name (Legal Business Name): MAPLE KNOLL COMMUNITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6727 CONTRERAS RD
OXFORD OH
45056-8769
US

IV. Provider business mailing address

11100 SPRINGFIELD PIKE
CINCINNATI OH
45246-4112
US

V. Phone/Fax

Practice location:
  • Phone: 513-524-7990
  • Fax: 513-524-7769
Mailing address:
  • Phone: 513-782-2400
  • Fax: 513-771-0175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2394N
License Number StateOH

VIII. Authorized Official

Name: NANCY HENDRICKS
Title or Position: BUSINESS OFFICE COMPTROLLER
Credential:
Phone: 513-782-2737