Organization Active NPI

Maple Health and Rehab LLC

Doing business as Maple Health and Rehab

  • Skilled Nursing Facility
  • Wabasso, MN
National Provider Identifier
1093309452
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAPLE HEALTH AND REHAB LLC
Doing business as
Maple Health and Rehab
Practice address
660 Maple St
Wabasso, MN 56293-1614
Phone
(507) 342-5166
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Facility Administrator
Title
Administrator
Phone
(507) 342-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

660 Maple St
Wabasso, MN 56293-1614

Mailing address

660 Maple St
Wabasso, MN 56293-1614

Other names 1

  • Maple Health and Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1093309452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MAPLE ST",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562931614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MAPLE ST",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562931614",
            "telephone_number": "507-342-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "ADMINISTRATOR",
        "authorized_official_first_name": "FACILITY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-342-5166"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wabasso, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.