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NPI Code Detail

MEDICARE: MAPLE HEALTH SERVICES, INC.

MEDICARE: MAPLE HEALTH SERVICES, 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
1314000000XSkilled Nursing Facility3830OH

Other Identifiers

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

General Provider Information

NPI Number : 1043217409
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAPLE HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 16231 BROADWAY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2526
Country : US
Telephone Number : 216-662-0551
Fax Number : 216-662-7754
Provider Business Practice Location Address
First Line : 16231 BROADWAY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2526
Country : US
Telephone Number : 216-662-0551
Fax Number : 216-662-7754
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. LOUIS HERSHEL KRAUS
Credential : L.N.H.A.
Telephone Number : 216-662-0551
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/22/2020

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Directions to “MAPLE HEALTH SERVICES, INC. ” Practice Location

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