NPIMap

Organization Active NPI

Maplewood Supportive Living

  • Assisted Living Facility
  • Southfield, MI
National Provider Identifier
1053862615
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AS630295056 Issued in MI
Legal business name
MAPLEWOOD SUPPORTIVE LIVING
Practice address
21755 Maplewood Dr
Southfield, MI 48033-3601
Phone
(734) 612-5957
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dorothy Stokes
Title
Owner
Phone
(734) 612-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AS630295056 MI Primary

Addresses

Primary practice location

21755 Maplewood Dr
Southfield, MI 48033-3601

Mailing address

37637 W. 5 Mile Road
#223
Livonia, MI 48154-1543
Phone (734) 612-5957

National Provider Directory

National Provider Directory
Tax ID family
Maplewood Supportive Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1053862615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37637 W. 5 MILE ROAD",
            "address_2": "#223",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541543",
            "telephone_number": "734-612-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21755 MAPLEWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333601",
            "telephone_number": "734-612-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-612-5957"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS630295056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.