DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAPLE MANOR REHABILITATION CENTER LLC

MEDICARE: MAPLE MANOR REHABILITATION CENTER LLC
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 Facility235613MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109896OTHERMIBCBS

General Provider Information

NPI Number : 1053306019
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAPLE MANOR REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 3999 VENOY RD
Second Line :
City : WAYNE
State : MI
Zip : 48184-1485
Country : US
Telephone Number : 734-727-0440
Fax Number : 734-727-0441
Provider Business Practice Location Address
First Line : 3999 VENOY RD
Second Line :
City : WAYNE
State : MI
Zip : 48184-1485
Country : US
Telephone Number : 734-727-0440
Fax Number : 734-727-0441
Authorized Official
Title or Position : ADMINISTRATOR/ MEDICAL DIRECTOR
Name : DR. STELLA EVANGELISTA
Credential : M.D.
Telephone Number : 734-727-0440
Provider Enumeration Date : 09/15/2005
Last Update Date : 12/10/2010

Similar Medicare Providers

1780903526 — SLEEP DIAGNOSTIC CENTER OF MICHIGAN
Practice Location Address:
3999 VENOY RD
WAYNE, MI
48184-1485
Practice Phone: 734-727-0182
Practice Fax: 734-727-0441
1205339728 — MAX ROBERT DICKERSON ATC
Practice Location Address:
3999 VENOY RD
WAYNE, MI
48184-1485
Practice Phone: 734-727-0440
Practice Fax:
1336705516 — ROMMEL PATRICK BROWN CADORNA RPT
Practice Location Address:
3999 VENOY RD
WAYNE, MI
48184-1485
Practice Phone: 734-727-0440
Practice Fax:
1235795337 — DOREEN DOPLAYNA PAPA
Practice Location Address:
3999 VENOY RD
WAYNE, MI
48184-1485
Practice Phone: 734-727-0440
Practice Fax:
1134785371 — PAULA MCELMEEL OTRL
Practice Location Address:
3999 VENOY RD
WAYNE, MI
48184-1485
Practice Phone: 734-727-0440
Practice Fax:
1184280331 — EMILY SAFAH
Practice Location Address:
3999 VENOY RD
WAYNE, MI
48184-1485
Practice Phone: 734-727-0440
Practice Fax:

Directions to “MAPLE MANOR REHABILITATION CENTER LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.